# Medical Claims Processor

**Company:** [Datamark, Inc.](http://jobs.workable.com/companies/sTRP3hFwZB84jWGcCVwj8H.md)
**Location:** El Paso, United States
**Workplace:** on site
**Employment type:** Full-time
**Department:** Operations

[Apply for this job](http://jobs.workable.com/view/c493edc2-7122-4e15-8e74-c70dfd651fc2)

## 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.

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 in internal systems
-   Meet or exceed productivity expectations while maintaining accuracy
-   Identify and escalate complex cases or discrepancies as appropriate
-   Support patients requiring specialty, high-cost, or complex therapies through thorough and timely insurance determination

## Requirements

-   Previous experience in insurance verification, benefits investigation, pharmacy operations, or healthcare administration preferred
-   Knowledge of medical insurance terminology (deductibles, copays, prior authorizations, etc.)
-   Strong attention to detail and ability to process high volumes of information accurately
-   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
-   Short Term & Long Term Disability
-   Training & Development
-   Wellness Resources
-   $16.50 per hour