💼 About This Role

You'll manage insurance verification and prior authorization for complex medical services, ensuring timely financial clearance. Your work directly reduces claim denials and supports uninterrupted patient care. This remote role offers the chance to serve as a subject matter expert in patient access workflows.

🎯 What You'll Do

• Manage insurance verification and prior authorization processes for complex services
• Verify insurance eligibility, benefits, and authorization requirements across payers
• Submit, track, and monitor authorization requests for approval
• Communicate with carriers, providers, and patients to resolve authorization issues

📋 Requirements

• Minimum 2 years experience in prior authorization or insurance billing in healthcare
• Strong understanding of medical terminology and healthcare workflows
• Ability to interpret payer policies and CPT/HCPCS coding guidelines
• Strong attention to detail with high accuracy in documentation and data entry

✨ Nice to Have

• Completion of a healthcare vocational program or post-secondary coursework
• NAHAM certification or equivalent healthcare access credential

🎁 Benefits & Perks

• 💰 Hourly pay $23.20 – $33.38 USD
• 🏥 Medical, dental, and vision insurance coverage
• 🏖️ Paid time off and generous leave policies
• 📚 Tuition assistance and career development opportunities
• 🧘 Employee assistance and wellness support programs

📨 Hiring Process

Estimated timeline: 2-4 weeks · AI estimate

1. 1Online Application· 15 min
2. 2Phone Screen· 30 min
3. 3Hiring Manager Interview· 45 min