📚 Coordinator, Manual Claims

Remote – U.S. (Select States) | Full-Time | Navitus Health Solutions

🧾 About the Role
Navitus Health Solutions is hiring a Coordinator, Manual Claims to process pharmacy and direct member reimbursement (DMR) claims with care and precision. This role ensures claim accuracy, supports client implementations, and plays a key part in delivering cost-effective pharmacy solutions. You’ll interact across departments—Member Services, Clinical, Government Programs—to keep things running smoothly and compliantly.

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✅ Position Highlights
• Pay: $18.67–$21.96/hr
• Schedule: Mon–Fri | 8 AM–5 PM
• Remote, except for residents of AK, HI, ME, MS, NH, NM, ND, RI, SC, SD, WV, WY
• Health, dental, vision insurance
• 20 PTO days + 9 paid holidays
• 4 weeks paid parental leave
• 401(k) with 5% match
• FSA + adoption assistance

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📋 What You’ll Own
• Process pharmacy/DMR claims accurately and on time
• Interpret client-specific rules and benefit designs
• Track inbound/outbound mail, generate reports, and prep audit files
• Collaborate with multiple departments to ensure accuracy and service quality
• Maintain and test claim system updates as needed
• Support client onboarding and participate in process improvement

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🎯 Must-Have Traits
• Associate’s degree or equivalent work experience
• Basic experience with Microsoft Word and Excel
• Strong attention to detail and willingness to learn
• Comfortable working with cross-functional teams and compliance standards

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💡 Why It’s a Win for Remote Candidates
You’ll get hands-on experience in healthcare operations, learn pharmacy claims from the inside out, and enjoy great benefits—all without leaving your home.

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✍️ Call to Action
If you’re detail-oriented, organized, and eager to grow in the pharmacy benefits field, Navitus wants to hear from you. Apply today and join a team that’s redefining healthcare transparency.

APPLY HERE