Texas Licensed Medical Case Manager

Job Summary

To support a growing team, the remote Medical Case Manager will manage prior authorizations, verify insurance coverage, and communicate with patients and providers, requiring Texas residency and offering an hourly pay rate.

Key responsibilities

• Perform prior authorizations and insurance verifications for patients
• Communicate with patients, providers, and insurance payers via phone and email
• Handle claims, denials, appeals, and billing and coding tasks

Required qualifications

• Must reside in Texas
• Minimum of 1 year of recent experience with medical insurance, particularly prior authorizations
• Experience with Medicare/Medicaid program administration
• Knowledge of ICD-10, HCPCS, or CPT coding is a significant plus
• High school diploma or equivalent