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 Apply Job!