Remote Medical Case Manager

Job Summary

A company is looking for a Remote Healthcare Claims Specialist.

Key Responsibilities

• Process Prior Authorizations (PAs) and conduct Insurance Verification
• Communicate with patients, providers, and insurance payers via telephone and email
• Handle 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 recent experience with Medical Insurance and Prior Authorization
• Experience with Medicare/Medicaid program administration
• Knowledge of ICD-10, HCPCS, or CPT is a plus
• High School Diploma or equivalent required