Claims Processor

1 week ago


Oviedo, Florida, United States Elite Care Rx Full time
Job Summary

We are seeking a highly skilled Claims Processor to join our team at Elite Care Rx, a leading Pharmaceutical and Claim Management Company in Oviedo, Florida. As a key member of our team, you will be responsible for ensuring seamless claim processing, resolving billing errors, and communicating effectively with insurance carriers and providers.

The ideal candidate will have previous experience in medical billing or claim processing, excellent written and verbal communication skills, and the ability to prioritize and multitask. A college degree is preferred but not required. We offer competitive wages based on experience, starting from $55,000 per annum, negotiable based on performance.

In this role, you will:

  • Utilize A/R reports to identify past-due accounts and contact insurance carriers to verify claim information and status of payment.
  • Receive payment on delinquent orders through correcting and resubmitting claims with billing errors and drafting formal appeals to overturn denials.
  • Organize daily workflow and follow up on accounts as necessary, escalating unpaid prescriptions when needed.

Our company culture emphasizes quality, expertise, and dedication. We invest in top-level domestic billers and claim specialists, providing in-depth training to ensure their success. If you are a detail-oriented individual with strong analytical skills and a passion for delivering exceptional results, we encourage you to apply.



  • Oviedo, Florida, United States Elite Care Rx Full time

    Job ResponsibilitiesThe Medical Claims Processor will be responsible for identifying past-due accounts through A/R reports and collaborating with insurance carriers, adjusters, PBMs, and TPAs to verify claim information and resolve payment issues.Prioritize and manage daily workflow, escalating accounts and unpaid prescriptions as necessary, while...


  • Oviedo, Florida, United States Elite Care Rx Full time

    About the RoleWe're seeking a skilled Medical Claims Processor to join our team at Elite Care Rx. As a key member of our claims department, you'll be responsible for utilizing A/R reports to identify past-due accounts and communicating with insurance carriers, adjusters, PBMs, and TPAs to verify claim information and resolve payment issues.You'll receive...