Mississippi Licensed Medical Case Manager

A company is looking for a Remote Healthcare Claims Specialist.

Key Responsibilities

Process prior authorizations and verify insurance coverage

Communicate with patients, providers, and insurance payers via phone and email

Handle claims, denials, appeals, and perform billing and coding tasks

Required Qualifications

Must reside in Mississippi

Minimum of 1-year recent experience in medical insurance, specifically with prior authorizations

Experience with Medicare / Medicaid program administration

Knowledge of ICD-10, HCPCS, or CPT is a significant advantage

High School Diploma or equivalent required