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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