Texas Licensed Medical Insurance Specialist

A company is looking for a Medical Prior-Authorization Specialist to work remotely.

Key Responsibilities

Handle Prior-Authorizations (PAs) and Insurance Verification

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, specifically in Prior Authorization

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 advantage

No attendance issues are permitted