Pharmacy Technician - Claims Review Specialist Pharmacy Technician - Claims Review Specialist What ... Medical/Dental/Vision insurance * Free access to MDLIVE - allowing access to your health benefits ...
Pharmacy Technician - Claims Review Specialist Pharmacy Technician - Claims Review Specialist What ... Medical/Dental/Vision insurance * Free access to MDLIVE - allowing access to your health benefits ...
Medical Claims Coder
Tucson, AZ · On-site
Medical Claims Coder, Tucson, AZ The Medical Claims Coder needs experience with ICD-10, Current ... Review and resolve rejected and/or denied claims. Conduct research and analysis of claims ...
Medical Claims Coder
Tucson, AZ · On-site
Medical Claims Coder, Tucson, AZ The Medical Claims Coder needs experience with ICD-10, Current ... Review and resolve rejected and/or denied claims. Conduct research and analysis of claims ...
$20 - $25/hr
Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. * Critical Analysis:
$20 - $25/hr
Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. * Critical Analysis:
$20 - $25/hr
Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. * Critical Analysis:
$20 - $25/hr
Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. * Critical Analysis:
Claims Review Physician Fully Remote Overview Position Type: Contractor Job Shift: Any Description ... DERMATOLOGY GASTROENTEROLOGY IMMUNOLOGY INTERNAL MEDICINE MEDICAL ONCOLOGY ORTHOPEDICS ...
Claims Review Physician Fully Remote Overview Position Type: Contractor Job Shift: Any Description ... DERMATOLOGY GASTROENTEROLOGY IMMUNOLOGY INTERNAL MEDICINE MEDICAL ONCOLOGY ORTHOPEDICS ...
$22 - $25/hr
Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. * Critical Analysis:
$22 - $25/hr
Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. * Critical Analysis:
Medical Claims Examiner
Fremont, CA · On-site
$41.85/hr
The Medical Claims Examiner will review, analyze, and adjudicate healthcare claims in accordance with applicable benefit plans, policies, contracts, regulatory requirements, and internal processing ...
Quick apply
Medical Claims Examiner
Fremont, CA · On-site
$41.85/hr
The Medical Claims Examiner will review, analyze, and adjudicate healthcare claims in accordance with applicable benefit plans, policies, contracts, regulatory requirements, and internal processing ...
Overview Pharmacy Technician - Claims Review Specialist What's your wish list for the perfect job ... Medical/Dental/Vision insurance * Free access to MDLIVE - allowing access to your health benefits ...
Overview Pharmacy Technician - Claims Review Specialist What's your wish list for the perfect job ... Medical/Dental/Vision insurance * Free access to MDLIVE - allowing access to your health benefits ...
Account Representative (Claims Specialist)
Kennesaw, GA · Remote
$19/hr
Review and process medical claims to ensure accurate billing and reimbursement * Enter and update claim information across multiple systems with accuracy * Follow up on outstanding claims to maximize ...
Quick apply
Account Representative (Claims Specialist)
Kennesaw, GA · Remote
$19/hr
Review and process medical claims to ensure accurate billing and reimbursement * Enter and update claim information across multiple systems with accuracy * Follow up on outstanding claims to maximize ...
Medical Review Nurse (RN) - UM/Appeals experience
Long Beach, CA · Remote
$29.05 - $56.64/hr
Reevaluates medical claims and associated records by applying advanced clinical knowledge ... Reviews medically appropriate clinical guidelines and other appropriate criteria with medical ...
Medical Review Nurse (RN) - UM/Appeals experience
Long Beach, CA · Remote
$29.05 - $56.64/hr
Reevaluates medical claims and associated records by applying advanced clinical knowledge ... Reviews medically appropriate clinical guidelines and other appropriate criteria with medical ...
Healthcare Claims Processor Bakinaw
$15.75 - $19.75/hr
Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. * Critical Analysis:
Healthcare Claims Processor Bakinaw
$15.75 - $19.75/hr
Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. * Critical Analysis:
Account Representative (Claims Specialist)
Kennesaw, GA · Remote
$19/hr
Review and process medical claims to ensure accurate billing and reimbursement * Enter and update claim information across multiple systems with accuracy * Follow up on outstanding claims to maximize ...
Account Representative (Claims Specialist)
Kennesaw, GA · Remote
$19/hr
Review and process medical claims to ensure accurate billing and reimbursement * Enter and update claim information across multiple systems with accuracy * Follow up on outstanding claims to maximize ...
Medical Claims Examiner
Tucson, AZ · On-site
Medical Claims Examiner Responsibilities: - Submit claims and encounters in a timely manner. - Review and resolve rejected, pended, and/or denied claims within expected timeframes. - Coordinate claim ...
Medical Claims Examiner
Tucson, AZ · On-site
Medical Claims Examiner Responsibilities: - Submit claims and encounters in a timely manner. - Review and resolve rejected, pended, and/or denied claims within expected timeframes. - Coordinate claim ...
Healthcare Claims Processor Bakinaw
Mount Pleasant, MI · On-site
$15.75 - $19.75/hr
Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. * Critical Analysis:
Healthcare Claims Processor Bakinaw
Mount Pleasant, MI · On-site
$15.75 - $19.75/hr
Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. * Critical Analysis:
Account Representative (Claims Specialist)
Kennesaw, GA · On-site
$19/hr
Review and process medical claims to ensure accurate billing and reimbursement * Enter and update claim information across multiple systems with accuracy * Follow up on outstanding claims to maximize ...
Account Representative (Claims Specialist)
Kennesaw, GA · On-site
$19/hr
Review and process medical claims to ensure accurate billing and reimbursement * Enter and update claim information across multiple systems with accuracy * Follow up on outstanding claims to maximize ...
Healthcare Claims Processor Bakinaw
Mount Pleasant, MI · On-site
$15.75 - $19.75/hr
Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. * Critical Analysis:
Healthcare Claims Processor Bakinaw
Mount Pleasant, MI · On-site
$15.75 - $19.75/hr
Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. * Critical Analysis:
Overview Pharmacy Technician - Claims Review Specialist What's your wish list for the perfect job ... Medical/Dental/Vision insurance * Free access to MDLIVE - allowing access to your health benefits ...
Overview Pharmacy Technician - Claims Review Specialist What's your wish list for the perfect job ... Medical/Dental/Vision insurance * Free access to MDLIVE - allowing access to your health benefits ...
Medical Claims Supervisor
Gastonia, NC · On-site
... Review claim status, member eligibility, benefit coverage, provider contract terms, coding ... to medical claims processing. · Monitor key performance indicators (KPIs), claims inventory ...
Quick apply
Medical Claims Supervisor
Gastonia, NC · On-site
... Review claim status, member eligibility, benefit coverage, provider contract terms, coding ... to medical claims processing. · Monitor key performance indicators (KPIs), claims inventory ...
Medical Claims Examiner
Tucson, AZ · On-site
Medical Claims Examiner, Tucson, AZ Under general supervision from the Director of Operations, the ... Review and resolve rejected and/or denied claims. Conduct research and analysis of claims ...
Medical Claims Examiner
Tucson, AZ · On-site
Medical Claims Examiner, Tucson, AZ Under general supervision from the Director of Operations, the ... Review and resolve rejected and/or denied claims. Conduct research and analysis of claims ...
Be Seen First
Senior Claims Processor III
Visalia, CA · On-site
$20/hr
Review and adjudicate medical claims accurately and efficiently. * Verify claim accuracy, coding, and payment information. * Interpret contracts and ensure claims are processed in accordance with ...
Quick apply
Be Seen First
Senior Claims Processor III
Visalia, CA · On-site
$20/hr
Review and adjudicate medical claims accurately and efficiently. * Verify claim accuracy, coding, and payment information. * Interpret contracts and ensure claims are processed in accordance with ...
Medical Claims Review information
See salary details
$14.66 - $16.24
7% of jobs
$16.24 - $17.81
14% of jobs
$18.35 is the 25th percentile. Wages below this are outliers.
$17.81 - $19.38
12% of jobs
The median wage is $20.91 / hr.
$19.38 - $20.96
18% of jobs
$20.96 - $22.53
12% of jobs
$23.91 is the 75th percentile. Wages above this are outliers.
$22.53 - $24.10
15% of jobs
$24.10 - $25.68
8% of jobs
$25.68 - $27.25
4% of jobs
$27.25 - $28.82
5% of jobs
$28.82 - $30.40
3% of jobs
$30.40 - $31.97
2% of jobs
$14
$22
$31
How much do medical claims review jobs pay per hour?
What states have the most Medical Claims Review jobs?
States with the most job openings for Medical Claims Review jobs include:

Other
Medical, Dental, Vision, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
Marquis Companies rating
6.6
Based on 31 frontline employees who took The Breakroom Quiz
76th of 242 rated social care providers
Job description
Pharmacy Technician - Claims Review Specialist
What's your wish list for the perfect job? Maybe it's to make a positive impact in the world, or to grow your career in healthcare. Maybe working with a supportive team is top priority, or to feel respected and valued.
If your answer is "all of the above," consider joining our team at Consonus Pharmacy. It's a perfect opportunity for compassionate people dedicated to people's health and well-being.
Consonus Pharmacy is a closed-door long-term care pharmacy specializing in the needs of nursing facilities, assisted living residents, and their caregivers. We are currently hiring a Claims Review Specialist to join our team!
As the Claims Review Specialist, your responsibilities will include prior authorizations, answering questions regarding prior authorizations, apply for prior authorizations and communicate with facilities and physicians, work daily rejects, communication with internal departments.
Some benefits may include:
- Paid training & career advancement opportunities
- $25,000 toward ongoing education benefit
- Generous Paid Time Off that pools vacation, sick & holiday pay in a single bucket for flexible use
- Medical/Dental/Vision insurance
- Free access to MDLIVE – allowing access to your health benefits from anywhere
- 401K With Employer Match
- Employee Assistance Program: with free access to counseling & support services
Qualifications
- Current Pharmacy Technician License in the appropriate state
- Experience in a Pharmacy setting
- Knowledge of billing procedures, working with insurance processors
- Excellent Customer Service skills, with high attention to detail
EEO Statement
"Be here. Be you." For more than 30 years, Marquis Companies and Consonus Healthcare have been serving seniors and welcoming staff of all backgrounds, skills, and perspectives. The Marquis family of companies offer a rich heritage of embracing differences and honoring individuality. We've continued to grow in our appreciation of diversity in the workplace. We know it builds strength, drives innovation, and brings valuable new perspectives and energy.
We're committed to making our workforce an even greater reflection of the people and communities we serve, and we are honored our employees have chosen to work at Marquis and Consonus. Everything we do as a company is driven by our mission to help those we serve, and each other, live the best rest of our lives. That means you being you – without apology or compromise. We value your every uniqueness and continue to curate, nurture, and sustain an inclusive culture. It's the foundation of who we are and the evolution of our collective future.
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