Texas Licensed Medical Insurance Specialist

A company is looking for a Remote Prior-Authorization Specialist.

Key Responsibilities

Handle prior-authorizations and insurance verification

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

Verify patient insurance coverage and manage inbound / outbound calls

Required Qualifications

Minimum of 1-year recent experience in medical insurance, specifically in 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 is a significant plus

Must have no attendance issues