Healthesystems

Healthesystems is a specialty provider of innovative medical cost management solutions

251-500 employees

Founded 2002

Medical

Private Company

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Medical Information Technology Health Care

Remote Work Available

This company offers remote work opportunities.

Open Positions1

States preferred: ALAZFL+15 more locationsFull-TimePharmacy Benefit ManagementPosted

Customer Service Specialist

Build trusted relationships with clients, claimants, and pharmacies.
Resolve phone inquiries related to claims adjudication, eligibility verification, and prior authorization.
Handle functions related to Pharmacy Benefit Management, Ancillary Benefits Management, and Billing Verification.
Translate jargon and complex processes into simple, step-by-step instructions for customers.
Adhere to attendance, punctuality, and quality guidelines, including availability for rotating shifts, weekends, and holidays.

Customer serviceMultitaskingData entry

About Healthesystems

Healthesystems pioneers medical cost management for workers' compensation. You will help reduce healthcare costs while improving care quality for injured workers. We manage over 60,000 pharmacy claims and streamline ancillary benefits through innovative technology. Our web-based Verticē portal supports 4,000 claims professionals daily. Founded in 2002, we are transforming healthcare through connected, informed, and simplified experiences.

How We Work

Healthesystems embraces a flexible Work-From-Home model. Most roles are 100% remote, offering you autonomy and trust. You need a dedicated, distraction-free home office and reliable high-speed internet. We provide company laptops and monitors to support your remote setup. Our environment promotes open communication through an Open Door Policy and Town Hall meetings. We encourage continuous learning and growth in a supportive setting.

Engineering at Healthesystems

You will build and maintain robust systems using Windows-based applications. Engineers integrate new AI technologies, including natural language processing, into our data analytics platform. This helps identify and mitigate risks early in the claims process. We utilize scripting languages like PowerShell, Python, and Bash. You will work within an agile methodology to deliver high-quality solutions. Our teams solve complex problems to simplify healthcare.

Why Join Us

Shape the future of workers' compensation healthcare through innovative solutions.
Work remotely with flexible options, supported by company-provided equipment.
Contribute to a growing company recognized as a 'Tampa Bay Top Workplace' 10 times.
Benefit from a comprehensive package including 401(k) matching and parental leave.
Develop your skills in an environment that values critical thinking and collaboration.

Benefits & Perks

Competitive salary based on experience and location.
Healthcare coverage: medical, dental, vision.
Paid Time Off (PTO) with rollover and paid holidays.
401(k) with company match.
Company-provided life insurance, short-term and long-term disability.
Wellness resources and Employee Assistance Program (EAP).
Health Savings Account (HSA) and Flexible Spending Account (FSA).
Voluntary benefits including legal services and pet insurance.
Half-Day Community Service Time Off and generous parental leave.