Texas Licensed Medical Insurance Specialist

Job Summary

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

Key Responsibilities

• Perform prior-authorizations and insurance verification
• Communicate with patients, providers, and insurance payers via telephone and email
• Verify patients' insurance coverage and handle inbound/outbound calls

Required Qualifications

• Minimum of 1-year recent experience with 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
• No attendance issues required