Mississippi Licensed Medical Case Manager

Job Summary

A company is looking for a Remote Healthcare Claims Specialist.

Key Responsibilities

• Process prior authorizations and verify insurance coverage
• Communicate with patients, providers, and insurance payers via phone and email
• Handle claims, denials, appeals, and perform billing and coding tasks

Required Qualifications

• Must reside in Mississippi
• Minimum of 1-year recent experience in medical insurance, specifically with prior authorizations
• Experience with Medicare/Medicaid program administration
• Knowledge of ICD-10, HCPCS, or CPT is a significant advantage
• High School Diploma or equivalent required