Medical Case Manager

Job Summary

A company is looking for a Medical Case Manager to join their team remotely.

Key Responsibilities

• Handle prior authorizations and insurance verification
• Communicate with patients, providers, and insurance payers via phone and email
• Manage claims, denials, appeals, and perform billing and coding tasks

Required Qualifications

• Must reside in Irving, TX or surrounding areas to pick up equipment
• 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 is a significant advantage
• High School Diploma or equivalent required