Sr. Benefit Investigation Specialist Remote $19/hr (San Antonio TX)

Employer Industry: Healthcare Services

Why Consider This Job Opportunity...
• Salary of $19/hr with weekly pay and benefits
• All necessary equipment provided for remote work
• Opportunity to work flexible hours from Monday to Friday between 7 am and 8 pm CST
• Chance to engage directly with patients and providers, making a meaningful impact in healthcare
• Supportive work environment with a focus on team collaboration
• Local Texas applicants preferred, fostering a sense of community

What To Expect (Job Responsibilities)
• Manage prior authorizations and verify patient insurance coverage
• Communicate with patients, providers, and insurance payers via phone and email
• Handle claims, denials, and appeals related to medical insurance
• Perform billing and coding tasks as necessary
• Receive and respond to inbound and outbound calls from patients and insurance providers

What Is Required (Qualifications)
• Minimum of 1 year of recent experience in medical insurance, particularly in prior authorizations
• Experience with Medicare/Medicaid program administration
• Proficiency in insurance verification and claim adjudication or medical billing
• Knowledge of ICD-10, HCPCS, or CPT is highly advantageous
• Must have a clean attendance record

How To Stand Out (Preferred Qualifications)
• Experience in a medical case management role
• Familiarity with medical billing software
• Strong understanding of healthcare regulations and compliance
• Excellent communication and interpersonal skills
• Ability to work independently in a remote setting

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