Texas Licensed Medical Authorization Specialist

Job Summary

A company is looking for a Medical Prior Authorization Specialist (Case Manager).

Key Responsibilities

• Collaborate with patients, pharmacists, providers, and insurance payors to ensure timely medication coverage
• Verify patients' insurance and perform benefit investigations
• Manage and assist with insurance appeals for claim denials

Required Qualifications

• At least 1 year of recent experience in medical insurance, medical claims, or medical billing
• A reliable high-speed internet connection and a quiet home workspace
• Ability to multitask and manage detailed information
• Strong problem-solving skills and a passion for helping others