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Remote Disability Claims Trainee Jobs in Texas (NOW HIRING)

PharMerica

340B Claims Specialist

Blanco, TX · Remote

Remote Flexibility : This position is 100% remote, giving you the freedom to work from anywhere! ... Company-Paid Disability Insurance * Tuition Assistance & Reimbursement * Employee Discount Program ...

AppleOne

Mortgage Claims - FHA Part B

Schertz, TX · Remote

$28/hr

Remote Equal Opportunity Employer / Disabled / Protected Veterans The Know Your Rights poster is ... individuals with disabilities. If you need a reasonable accommodation for any part of the ...

Lifeworks

Disability Assistant

Houston, TX · Remote

Informs claimants of documentation required to process claims, required timeframes, and claims ... Associate's Degree. #Remote #telushealthjobs #FMLA #LI-JG1 A bit about us We're a people-focused ...

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All JobsDisability Claims JobsRemote Disability Claims Trainee JobsRemote Disability Claims Trainee Jobs in Texas

Remote Disability Claims Trainee information

What is the difference between Remote Disability Claims Trainee vs Remote Disability Claims Specialist?

AspectRemote Disability Claims TraineeRemote Disability Claims Specialist
CredentialsEntry-level, often requires high school diploma or equivalent; some roles may prefer related courseworkTypically requires relevant certifications or experience in claims processing or insurance
Work EnvironmentTraining programs, supervised tasks, learning-focusedIndependent claims processing, decision-making, client interaction
Job ResponsibilitiesAssisting with claims, learning procedures, data entryEvaluating claims, making determinations, communicating with claimants

The Remote Disability Claims Trainee is an entry-level role focused on learning and assisting in claims processing, often under supervision. In contrast, the Remote Disability Claims Specialist handles more independent decision-making and claims evaluation, requiring relevant experience or certifications. The trainee position is ideal for those starting in the industry, while the specialist role is suited for experienced professionals.

What are popular job titles related to Remote Disability Claims Trainee jobs in Texas? For Remote Disability Claims Trainee jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Remote Disability Claims Trainee jobs in Texas look for? The top searched job categories for Remote Disability Claims Trainee jobs in Texas are:
What cities in Texas are hiring for Remote Disability Claims Trainee jobs? Cities in Texas with the most Remote Disability Claims Trainee job openings:
Remote Disability Claims Trainee jobs near you

340B Claims Specialist

BrightSpring Health Services

Blanco, TX • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

BrightSpring Health Services rating

4.8

Company rating: 4.8 out of 10

Based on 62 frontline employees who took The Breakroom Quiz

220th of 239 rated social care providers

Job description

PharMerica


Step Into a Rewarding Role as a Claims Specialist with PharMerica!

Are you ready to make a real impact in a growing organization? Join our PharMerica team as a Claims Specialist, where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly matters—delivering exceptional care and service.

Why Join PharMerica?

  • Focused on Service Excellence: Our mission is to provide top-quality care and outstanding customer service to hospitals, rehabilitation centers, long-term acute care hospitals, and specialized care centers across the nation.
  • Career Growth: We’re in high growth mode, offering plenty of opportunities for those looking to advance their careers.
  • Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!

What You’ll Do: As a dynamic Claims Specialist, you will:

  • Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our clients get the support they need.
  • Be a vital part of a team that’s dedicated to enhancing patient care through meticulous claims management and customer service.

What We Offer:

  • DailyPay
  • Flexible Schedules
  • Competitive Pay with Shift Differentials
  • Health, Dental, Vision, and Life Insurance
  • Company-Paid Disability Insurance
  • Tuition Assistance & Reimbursement
  • Employee Discount Program
  • 401k Plan
  • Paid Time Off
  • Non-Retail, Closed-Door Environment

The Claims Specialist - 3rd Party:

  • Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks
  • Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines
  • Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement
  • Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes
  • Works as a team to identify, document, communicate and resolve payer/billing trends and issues
  • Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans
  • Prepares and maintains reports and records for processing
  • Performs other tasks as assigned

Education/Learning Experience:

  • Required: High School Diploma or GED
  • Desired: Associate’s or Bachelor’s Degree

Work Experience:

  • Required: Customer Service
  • Desired: Up to one year of related experience. Pharmacy Technician experience

Skills/Knowledge:

  • Required: Ability to retain a large amount of information and apply that knowledge to related situations. Ability to work in a fast-paced environment. Basic math aptitude. Microsoft Office Suite
  • Desired: Knowledge of the insurance industry’s trends, directions, major issues, regulatory considerations and trendsetters

Licenses/Certifications:

  • Desired: Pharmacy technician, but not required

PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.

This is an excellent opportunity to move from a retail to office environment for those who are willing to learn claims, billing and insurance processing.

Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.


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