Medical Claims Processor
Join the DATAMARK, Inc. Team as a Medical Claims Processor!
Are you looking for an exciting opportunity where your attention to detail and problem-solving skills make a real impact? Do you thrive in an environment that requires critical thinking and strong judgment? If so, we have the perfect role for you! As a Medical Claims Processor at DATAMARK, you'll play a vital role in the success of our operations by ensuring accurate and efficient back-office support.
We are seeking a detail-oriented and performance-driven Medical Claims Processor to support patients prescribed complex and high-cost drug therapies. In this role, you will be responsible for verifying insurance coverage, conducting research, and resolving coverage-related issues to ensure timely and accurate prescription processing.
This is a back-office position that requires strong analytical skills, efficiency, and comfort with outbound calls to insurance providers and patients.
- Verify insurance coverage for new and existing patients to support timely prescription fulfillment
- Pull and review customer accounts to assess eligibility, benefits, and coverage limitations
- Conduct detailed research across multiple systems and portals
- Initiate and complete outbound calls (OB calls) to insurance companies, pharmacies, and other partners to resolve coverage issues
- Accurately document findings, decisions, and next steps
