Insurance Specialist - Prior Authorization

Job Summary

Working remotely in the Eastern Time zone, the full-time Insurance Specialist - Prior Authorization will manage claims inventory, resolve billing challenges, and ensure accurate payments by leveraging expertise in patient billing and payer guidelines.

Key Responsibilities:

• Reduce outstanding accounts receivable by managing claims inventory
• Gather and verify patient and insurance information for referrals and pre-authorizations
• Provide excellent customer service regarding benefits, billing, and claims inquiries

Required Qualifications:

• High School Diploma or GED
• 2+ years of Denials Management experience
• 2+ years of Medical Billing/Follow-up experience
• Experience with Medicare, Medicaid, and commercial payors
• Proficiency with PC-based applications (Microsoft Outlook, Word, and Excel)