Remote Medical Insurance Specialist

Job Summary

To support a growing healthcare team, the Remote Medical Insurance Specialist will manage prior authorizations and insurance verifications while communicating with patients and providers in a full-time remote capacity.

Key responsibilities

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

Required qualifications

• Minimum of 1 year of recent experience with medical insurance, particularly 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 codes is a significant plus
• No attendance issues in previous employment