Top 61 Remote medicare Jobs in Columbus

Pharmacy Billing Representative- Remote
CITYWIDE RX LLC —Columbus, OH
- Weekends as needed
- Remote
- Research
- Mid-level
- High school diploma or GED
- Paid training
- Paid holidays
Quick Apply
1d
BH Insurance/Precert Specialist
Nationwide Children's Hospital —Columbus, OH
- Full-time
- CPR Certification
- BLS Certification
- High school diploma or GED
Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)
Molina Healthcare —Columbus, OH
- $54,922 - $107,099 a year
- Full-time
- Remote
- RN License
- Writing skills
- Analysis skills
- Health insurance
Contracts Technician Associate
Ensemble RCM LLC —Columbus, OH
- $46,900 - $89,850 a year
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Tuition reimbursement
Provider Enrollment & Credentialing Subject Matter Expert (SME)
Brittany Wyche, LLC —Columbus, OH
- $75 - $110 an hour
- Contract
- Hybrid work
- Analysis skills
- Senior level
- Communication skills
Quick Apply
3d
Remote Physician Coding Specialist II
Mount Carmel —Columbus, OH
- Full-time
- Remote
- Surgery
- Mid-level
- High school diploma or GED
Assessment Specialist SRS - Franklin and Surrounding Counties
CareStar, Inc. —Columbus, OH
- Full-time
- RN License
- Mid-level
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
Intake Specialist - Franklin and Surrounding Counties
CareStar, Inc. —Columbus, OH
- Full-time
- RN License
- Mid-level
- Home Health
- Paid holidays
- Health insurance
Quick Apply
Homecare - Revenue Cycle Manager – Remote
PurposeCare —Columbus, OH
- $80,000 - $95,000 a year
- On call
- Travel
- Home Health
- Organizational skills
Quick Apply
Clinical Manager - Specialized Recovery Services (OH)
CareStar, Inc. —Columbus, OH
- Full-time
- RN License
- Driver's License
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
3d
Senior Healthcare Business Analyst / Lean Six Sigma Consultant
Brittany Wyche, LLC —Columbus, OH
- $70 - $95 an hour
- Contract
- Hybrid work
- Background check
- Analysis skills
- Senior level
Quick Apply
3d
LPN - Advanced Care Planning Specialist, Remote
Aledade PBC —Columbus, OH
- $28.85 an hour
- 8 hour shift
- Remote
- Spanish
- Nursing
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
Medicare Sales Field Agent - Columbus, OH.
Humana —Columbus, OH
- $80,000 - $125,000 a year
- Weekends as needed
- Local
- Public speaking
- Driver's License
- Paid holidays
- Health insurance
Inpatient Coding Auditor
Huron Managed Services LLC —Columbus, OH
- $38.46 - $52.40 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Dental insurance
Quick Apply
3d
Hospice Social Worker
Generation Hospice —Westerville, OH
- $30 - $38 an hour
- Part-time
- Hybrid work
- CPR Certification
- Experience working with individuals with disabilities
- BLS Certification
Quick Apply
Clinical Supervisor SRS - Franklin and Surrounding Counties
CareStar, Inc. —Columbus, OH
- Full-time
- RN License
- Social Work
- 1 year
- Paid holidays
- Health insurance
Quick Apply
Data Exchange Engineer
Medical Mutual of Ohio —Dublin, OH
- On call
- Computer science
- Azure
- Computer Science
- Health savings account
- Disability insurance
Licensed Mental Health Therapist
Compassionate Counseling for Seniors and Caregivers —Westerville, OH
- $55 - $75 an hour
- Contract
- Hybrid work
- Private practice
- LMFT
- Master of Social Work
- Flexible schedule
Quick Apply
Regional Sales Director - OH/WV
GlaxoSmithKline —Columbus, OH
- $186,750 - $311,250 a year
- Full-time
- Remote
- 7 years
- Up to 50% travel
- Hospital
- Paid holidays
- Health insurance
Senior Security Engineer
Medical Mutual of Ohio —Dublin, OH
- Hybrid work
- 7 years
- Office
- Bachelor's degree
- Health savings account
- Disability insurance

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remote medicare jobs near columbus

Pharmacy Billing Representative- Remote

CITYWIDE RX LLC
Columbus, OH

Quick Apply

Job Details

Full-time
1 day ago

Benefits

Paid training
Paid holidays
Disability insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Phone communication
High school diploma or GED
Medical billing and coding communication with insurance companies
Computer skills
Client interaction via phone calls

Full Job Description

Build Your Career with Us!

Competitive Pay • Stable Schedules • Career Growth • Multiple Shifts Available

SpecialtyRx is a fast-growing Long-Term Care pharmacy dedicated to providing personalized, high-quality pharmaceutical services to long-term care facilities and assisted living communities.

We are currently seeking a Third-Party Rejections Specialist to join our team. This role is focused specifically on hands-on third-party insurance rejection experience. If you have direct experience researching, resolving, and processing pharmacy insurance rejections, we want to hear from you!

Candidates must reside in Ohio, Virginia, or Kentucky.

What You'll Do

Perform duties and responsibilities assigned by the Billing Supervisor.
Research and verify patient eligibility and insurance coverage with state and private insurance providers.
Research, analyze, and resolve third-party insurance rejections in accordance with daily rejection reports.
Maintain and update patient billing, insurance, and coverage information in the system.
Submit and follow up on prior authorizations for state insurance programs.
Communicate directly with insurance companies regarding rejections, overrides, eligibility issues, coverage changes, and claim updates.
Investigate and resolve pending billing and insurance issues.
Work with client facility staff and other applicable healthcare organizations and agencies, including PDP/Medicare, CMS, NJM, and NYM, when necessary.
Maintain accurate documentation and ensure billing information is current and complete.
Work independently while collaborating with the billing team to meet daily goals and deadlines.
Handle multiple priorities in a fast-paced environment while maintaining accuracy and attention to detail.

Qualifications

Who We're Looking For

We're looking for detail-oriented professionals who understand how to work through third-party pharmacy claim rejections and are comfortable communicating with insurance providers to identify and resolve coverage and billing issues.

If your background is primarily in medical billing or medical coding, this position may not be the right fit. We are specifically seeking candidates with direct third-party pharmacy rejection experience.

Required:

High school diploma or equivalent.
Direct, hands-on experience working with third-party pharmacy insurance rejections is required.
Experience must be in actual third-party rejection processing/resolution.
Strong computer skills and ability to learn and navigate multiple systems.
Excellent attention to detail and problem-solving skills.
Professional and courteous telephone communication skills.
Ability to work independently and as part of a team.
Ability to multitask and prioritize work in a fast-paced environment.
Strong organizational skills and follow-through.

Preferred:

Previous pharmacy experience.
Long-Term Care Pharmacy experience.
Experience with New York pharmacy billing claims.
Frameworks/ECM experience.
Experience working directly with insurance providers to resolve pharmacy claim rejections.

Schedule

We are hiring for multiple shifts!

Candidates must have weekend availability. Flexibility to work evenings and/or overnight shifts is strongly preferred.

Available shifts may include:

8:00 AM – 4:00 PM
9:00 AM – 5:00 PM
11:00 AM – 7:00 PM
12:00 PM – 8:00 PM
3:00 PM – 11:00 PM
4:00 PM – 12:00 AM

What We Offer

Competitive pay based on experience.
Stable and consistent scheduling.
Opportunities for career growth.
Health, dental, and vision insurance.
Group life insurance and short-term disability.
Paid time off and paid holidays.
401(k) with company match.
Paid training and development opportunities.
Collaborative and supportive work environment.

Ready to Join the SpecialtyRx Team?

Apply today through our careers portal:

Apply Here – SpecialtyRx Careers

We look forward to reviewing your application and connecting with qualified candidates to schedule an interview.

EEO Statement

SpecialtyRx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local law.

EO/Minorities/Females/Disabled/Veterans

Quick Apply

Refine Your Search

remote medicare jobs in columbus

Pharmacy Billing Representative- Remote

BH Insurance/Precert Specialist

Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)

Contracts Technician Associate

Provider Enrollment & Credentialing Subject Matter Expert (SME)

Remote Physician Coding Specialist II

Assessment Specialist SRS - Franklin and Surrounding Counties

Intake Specialist - Franklin and Surrounding Counties

Homecare - Revenue Cycle Manager – Remote

Clinical Manager - Specialized Recovery Services (OH)

Senior Healthcare Business Analyst / Lean Six Sigma Consultant

LPN - Advanced Care Planning Specialist, Remote

Medicare Sales Field Agent - Columbus, OH.

Inpatient Coding Auditor

Hospice Social Worker

Clinical Supervisor SRS - Franklin and Surrounding Counties

Data Exchange Engineer

Licensed Mental Health Therapist

Regional Sales Director - OH/WV

Senior Security Engineer

I want to receive the latest job alert for remote medicare in columbus

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