Medical Case Manager - Insurance & Billing Specialist

Description

We are seeking a dedicated Medical Case Manager to join our team! In this role, you will play a vital part in supporting our patients by managing their medical needs and ensuring smooth communication between patients, providers, and insurance payers...

Pay and Schedule
?? Pay: $19/hr (Weekly Pay Plus Benefits)
?? Schedule: Monday to Friday, between 7 AM - 8 PM CST
?? Location: Remote (Texas)
?? Eligibility: Local Texas and surrounding area applicants only
?? Equipment: Provided and shipped to you

Key Responsibilities
?? Handle prior authorizations (PAs) and perform insurance verification to ensure patients receive the care they need.
?? Communicate effectively with patients, healthcare providers, and insurance companies via telephone and email.
?? Verify patients' insurance coverage and assist with any billing inquiries.
?? Manage claims, address denials, and facilitate appeals as necessary.
?? Conduct billing and coding tasks to ensure accurate documentation.
?? Receive and make inbound and outbound calls to assist patients and insurance providers.

Qualifications
?? A minimum of 1 year of recent experience in medical insurance, particularly with prior authorizations.
?? Familiarity with Medicare and Medicaid program administration.
?? Experience in insurance verification and claim adjudication or medical billing.
?? Knowledge of ICD-10, HCPCS, or CPT coding is a significant advantage!
?? Must have a strong attendance record with no issues.

Why Join Us?

This is a fantastic opportunity for someone looking to make a difference in the lives of patients while enjoying a supportive remote work environment. If you are passionate about healthcare and helping others, we would love to hear from you!

Employment Type: Full-Time

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