Medical Insurance Verification Specialist

Job Summary

A company is looking for a Medical Insurance Verification Specialist.

Key Responsibilities

• Complete outbound calls to providers' offices on behalf of patients
• Verify medical necessity criteria and coverage guidelines for prior authorization with insurance payers
• Prepare and submit prior authorization requests for medications, procedures, and services to insurance companies

Required Qualifications, Training, and Education

• Minimum of 1 year recent experience with medical benefits and prior authorizations
• High School Diploma or equivalent
• Must reside in Texas, Georgia, Florida, Utah, or Kentucky
• Ability to multi-task and use dual monitors
• Call center experience is a plus but not required