Georgia Licensed Healthcare Claims Specialist

Job Summary

A company is looking for a Remote Healthcare Claims and Prior Authorization Specialist for Georgia residents only.

Key Responsibilities:

• Review, process, and adjudicate medical insurance claims accurately and efficiently
• Verify patient eligibility, policy coverage, and claim information
• Communicate with healthcare providers, insurance carriers, and patients to resolve issues

Qualifications:

• 1+ year of recent experience in medical claims or healthcare insurance
• Strong knowledge of medical terminology, CPT/ICD-10 codes, and EOBs
• High school diploma or equivalent required
• Tech-savvy with the ability to work independently in a remote setting
• Must have high-speed internet with a modem connection