Texas Medical Insurance Specialist

Job Summary

A company is looking for a Medical Insurance Verification Specialist.

Key Responsibilities

• Complete outbound calls to provider offices on behalf of patients
• Verify medical necessity criteria and coverage guidelines for prior authorization
• Prepare and submit prior authorization requests to insurance companies or pharmacy benefit managers

Required Qualifications

• Minimum of 1 year recent experience with medical benefits and prior authorizations
• Must reside in Texas, Georgia, Florida, Utah, or Kentucky
• High school diploma or equivalent
• Ability to multi-task and use dual monitors
• Quiet workstation with high-speed internet and modem access required