Medical Representative Jobs

Medical Claims Representative

This position examines, enters and accurately adjudicates medical, dental, visio...

Location

United States , Fort Wayne

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
Medical terminology and medical claims experience with involvement in reviewing and analyzing claims is beneficial
Must be able to work well independently and in a team atmosphere
Ability to maintain a departmental accuracy standard of 99%
Detail oriented
Ability to manage multiple priorities that change from day-to-day and week-to-week in a fast-paced environment
Ability to understand system calculations in order to determine if claims are adjudicating accurately
Ability to manually process claims in the claims adjudication system if necessary
Must understand complicated benefit designs
Ability to self-manage, prioritize and meet specific production deadlines

Job Responsibility

Examines, enters and accurately adjudicates medical, dental, vision, HRA, FLEX, or STD claims based upon coverage, policy and procedural guidelines
Enters paper claims into a proprietary claim adjudication system
Adjudicates both paper and electronic claims with 99% accuracy for payment dollars and claim coding following an extensive on-the-job training class
Maintains strict first-in/first-out for claims adjudication
Follows office procedures for follow-up on claims needing additional information by reviewing the Holding for Information Report for each assigned client on a monthly basis
Adjudicates prescription claims not automatically adjudicated by the claim adjudication system
Interprets COB and Medicare worksheets as needed on assigned clients
Batches adjudicated claims according to client preference or schedule
Reports to clients on a weekly basis the total of all claims processed for that client, requesting the funding or requesting that funding be transferred to Pro-Claim
Communicates with brokers, agents and clients regarding high dollar cost claims and SPEC claimants

What we offer

Medical, vision, dental, and life and disability insurance
Eligible to enroll in company 401(k) plan

Fulltime

Medical Reimbursement Representative

As a Collector, you play an integral role in delivering cost effective solutions...

Location

United States , Work at Home

Salary:

17.00 - 28.46 USD / Hour

CVS Health

Expiration Date

December 26, 2025

Requirements

1+ years of experience in a professional environment
1+ years experience working in Excel, Outlook, and Word
Verifiable High School Diploma or GED required

Job Responsibility

Work with insurance companies to resolve issues associated with patients' insurance claims
Ensure timely follow-up on all patient accounts
Escalate payer trending concerns to leadership
Work with payers to ensure proper reimbursement on patient accounts
Identify and prepare adjustments and write-offs
Correct and resubmit claims
Follow-up on daily correspondence (denials, short-pays)
Interface with insurance companies via phone and web portal to check claim status
Submit written correspondence to payers and patients
Interpret contracts with payers to ensure proper payment

What we offer

Medical, dental and vision insurance
Supplemental benefits
Retail discounts
Paid time off
Flexible work schedule
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation and weight management programs
Confidential counseling

Fulltime

Medical Reimbursement Representative

As a Collector, you play an integral role in delivering cost effective solutions...

Location

United States , Work at Home

Salary:

17.00 - 28.46 USD / Hour

CVS Health

Expiration Date

December 31, 2025

Requirements

1+ years of experience in a professional environment
1+ years experience working in Excel, Outlook, and Word
Verifiable High School Diploma or GED required

Job Responsibility

Working with insurance companies to resolve issues associated with patients' insurance claims
Ensure timely follow-up on all patient accounts
Escalate payer trending concerns to leadership
Work with payers to ensure proper reimbursement on patient accounts
Identify and prepare adjustments and write-offs
Correct and resubmit claims
Follow-up on daily correspondence (denials, short-pays)
Interface with insurance companies via phone and web portal to check claim status
Submit written correspondence to payers and patients
Interpret contracts with payers to ensure proper payment

What we offer

Medical, dental and vision insurance
Supplemental benefits
Retail discounts
Paid time off
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation and weight management programs
Confidential counseling
Financial coaching

Fulltime

!

New

Medical Sales Representative

Our client is an established pharmaceutical company dedicated to delivering opti...

Location

Malaysia , Kuala Lumpur

Salary:

4000.00 - 6000.00 MYR / Month

Randstad

Expiration Date

January 17, 2026

Requirements

Bachelor degree in any Science disciplines
1-2 years of pharmaceutical sales experience
Possess valid driving license with own transport

Job Responsibility

Present, promote, and sell pharmaceutical products, medical devices, or related healthcare solutions to healthcare professionals such as doctors, pharmacists, and hospital administrators within an assigned territory
Establish, develop, and maintain positive business and customer relationships to build trust and ensure ongoing business
Meet or exceed agreed-upon sales targets and outcomes within specified time schedules and geographic areas
Keep management informed through detailed reports on customer needs, problems, interests, competitive activities, and market potential

What we offer

competitive incentive scheme

New

Medical sales representative

Ensures correct use of drugs through scientific information activities. Requires...

Location

Salary:

Not provided

Polifarma SpA

Expiration Date

Until further notice

Requirements

Suitable qualification
High professional qualification
Adequate scientific knowledge on drugs
Ability to carry out scientific information activities among doctors
Ability to inform the company of observations on drug use and side effects

Job Responsibility

Carries out scientific information activities among doctors, describing the pharmacological and therapeutic characteristics of the drugs
Informs the company of any observations made on the use of drugs that emerge from the discussion with healthcare providers and information on the side effects of drugs for human use
Can be called upon to perform, according to business needs, other activities in the area of pertinence

New

Medical Sales Representative

Our client is a leading pharmaceutical company utilizing in modern technology to...

Location

Malaysia , Kuala Lumpur

Salary:

4000.00 - 5000.00 MYR / Month

Randstad

Expiration Date

January 17, 2026

Requirements

Bachelor degree in any Science disciplines
1-2 years of pharmaceutical sales experience
Possess valid driving license with own transport
Fresh graduates are also welcome to apply

Job Responsibility

Achieve ambitious sales targets by developing and executing effective strategies, ensuring robust business growth and progress across the assigned territory
Act as the primary interface, detailing, presenting, and expertly selling pharmaceutical products directly to key healthcare professionals (doctors, pharmacists, and other providers)
Proactively identify and secure new business accounts, strategically expanding the company's geographical coverage while maintaining excellent service for existing clients
Work closely with Marketing and Product teams to enhance partner capabilities, coordinate smoothly with the Account team for flawless execution, and continuously gather critical market intelligence (trends, competition, needs)

What we offer

competitive incentive scheme

New

Medical Sales Representative

Our client is a thriving regional healthcare powerhouse dedicated to ensuring wi...

Location

Malaysia , Kuala Lumpur

Salary:

4000.00 - 6000.00 MYR / Month

Randstad

Expiration Date

January 02, 2026

Requirements

Bachelor degree in any Science disciplines
1-2 years of pharmaceutical sales experience
Possess valid driving license with own transport

Job Responsibility

Achieve and maximize sales targets for principal brands through strategic execution of sales and marketing initiatives
Cultivate and sustain strong, loyal relationships with healthcare professionals (e.g., Fertility Specialists, Embryologists) by providing exceptional service, delivering product presentations, and offering Continuing Medical Education (CME)
Generate new business revenue by identifying opportunities, conducting market and competitor analysis, and managing the entire customer order and delivery process with meticulous attention
Uphold the highest standards of professionalism, integrity, and compliance with company and industry codes, while actively collaborating to achieve team goals

What we offer

great commission scheme

!

New

Medical Sales Representative

Our client is a market-leading healthcare group in Southeast Asia, focused on de...

Location

Malaysia , Kuala Lumpur

Salary:

4000.00 - 6000.00 MYR / Month

Randstad

Expiration Date

January 02, 2026

Requirements

Bachelor degree in any Science disciplines
2-3 years of pharmaceutical sales experience
Possess valid driving license with own transport

Job Responsibility

Drive sales growth and achieve targets for Principal Brands through strategic sales and marketing activities
Build and maintain strong, loyal relationships with healthcare professionals by delivering excellent service, product presentations, and Continuous Medical Education (CME)
Identify and develop new business opportunities, conduct market/competitor research, and meticulously manage the entire customer order process
Maintain a high level of professionalism and integrity by ensuring compliance with company policies and industry codes of conduct, and actively contributing as a collaborative team member

What we offer

great commission scheme

Fulltime

!

Medical Representative

Randstad

Location:
India , Amritsar

Category:
Sales

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
December 26, 2025

Expiration:
January 19, 2026

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Randstad

Location:India , Amritsar

Category:Sales

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:December 26, 2025

Expiration:January 19, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

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Medical Claims Representative

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Location:
India , Amritsar

Category:
Sales

Contract Type:
Not provided

Job Posted:
December 26, 2025

Expiration:
January 19, 2026