Remote Medical Case Manager

A company is looking for a Remote Healthcare Insurance Specialist.

Key Responsibilities

Handle prior authorizations and insurance verification

Communicate with patients, providers, and insurance payers via telephone and email

Manage claims, denials, appeals, and billing and coding tasks

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

High school diploma or equivalent required