Remote Medical Case Manager

RemX Speciality Staffing; United States; Remote; USD 40,000 - 60,000; Full time

Job summary

A staffing agency is looking for a Remote Healthcare Insurance Specialist to handle prior authorizations and insurance verification. Responsibilities include managing claims, communicating with patients and providers, and billing tasks. The ideal candidate should have at least 1 year in medical insurance, particularly in prior authorization, and familiarity with ICD-10, HCPCS, or CPT is a plus. A high school diploma or equivalent is required.

Qualifications

• Minimum of 1 year of recent experience with medical insurance, specifically in prior authorization.
• Experience with Medicare/Medicaid program administration.
• Familiarity with ICD-10, HCPCS, or CPT is a significant advantage.

Responsibilities

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

Skills

Medical insurance experience

Claims management

Communication skills

Billing and coding knowledge

Education

High school diploma or equivalent

Job description

A company is looking for a Remote Healthcare Insurance Specialist.

Key Responsibilities

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

Required Qualifications

• Minimum of 1 year of recent experience with medical insurance, specifically in prior authorization
• 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 advantage
• High school diploma or equivalent required