[Hiring] Medical Claims Processor @Datamark, Inc.

Role Description

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. In this role, you will be responsible for:

• Verifying insurance coverage for new and existing patients to support timely prescription fulfillment
• Pulling and reviewing customer accounts to assess eligibility, benefits, and coverage limitations
• Conducting detailed research across multiple systems and portals
• Initiating and completing outbound calls (OB calls) to insurance companies, pharmacies, and other partners to resolve coverage issues
• Accurately documenting findings, decisions, and next steps in internal systems
• Meeting or exceeding productivity expectations while maintaining accuracy
• Identifying and escalating complex cases or discrepancies as appropriate
• Supporting patients requiring specialty, high-cost, or complex therapies through thorough and timely insurance determination

Qualifications

• Previous experience in insurance verification, benefits investigation, pharmacy operations, or healthcare administration preferred
• Knowledge of medical insurance terminology (deductibles, copays, prior authorizations, etc.)
• Excellent reading comprehension and research abilities
• Comfortable making outbound calls to resolve insurance or coverage-related issues
• Strong problem-solving and critical-thinking skills
• Ability to manage productivity metrics in a fast-paced environment
• Basic computer proficiency and experience navigating multiple systems

Benefits

• Health Care Plan (Medical, Dental & Vision)
• Retirement Plan (401k, IRA)
• Life Insurance (Basic, Voluntary & AD&D)
• Paid Time Off
• Sign-on Retention Bonus: $500 after completion of training/OJT/Nesting, 1 week of production, and adhering to attendance policy
• Production Incentive: Additional pay per hour based on productivity goals and expectations
• WAH / Remote possible after Classroom Training/OJT/Nesting based on performance
• Short Term & Long Term Disability
• Training & Development
• Wellness Resources
• $16.50 per hour

Company Description