Medical Insurance Specialist

Job Summary

To support a growing healthcare team, the remote Medical Insurance Specialist will focus on prior authorizations and insurance verification while managing communications with patients and providers.

Key responsibilities

• Handle prior authorizations and insurance verification tasks
• Communicate with patients, providers, and insurance payers via telephone and email
• Verify patient insurance coverage and manage inbound and outbound calls

Required qualifications

• Minimum of 1 year of recent experience in medical insurance, specifically with prior authorizations
• Experience with Medicare/Medicaid program administration
• Knowledge of insurance verification and claim adjudication or medical billing
• Familiarity with ICD-10, HCPCS, or CPT is a significant plus
• Must have no attendance issues