-
-
TYPE OF WORK
Full Time
-
-
SALARY
$5
-
-
HOURS PER WEEK
40
-
-
DATE UPDATED
Aug 7, 2026
Responsibilities:
Handle insurance eligibility and prior authorization tasks for multiple practice locations.
Verify insurance coverage, benefits, copays, deductibles, and effective dates.
Confirm HMO, PPO, Medicare, Medicaid, IPA, and medical group requirements.
Review referrals and prior authorization requirements before scheduled appointments.
Prepare, submit, and follow up on authorization requests.
Contact insurance companies, IPAs, medical groups, and referring providers.
Monitor pending authorizations until a decision is received.
Record authorization numbers, approved services, effective dates, and expiration dates.
Review upcoming schedules for assigned practice sites.
Report approvals, denials, missing information, and scheduling concerns to the appropriate team.
Maintain accurate patient records and site-specific tracking reports.
Assist with medical billing tasks as needed, including claims follow-up and appeals.
Protect patient information and comply with HIPAA requirements.
Qualifications:
2 to 3 years experience with U.S. medical insurance eligibility and prior authorizations.
Familiarity with HMO, PPO, Medicare, Medicaid, IPAs, medical groups, and referrals.
Experience using insurance portals and electronic health record systems.
Familiarity with medical claims, denials, and appeals is preferred.
Ability to organize and prioritize tasks across multiple practice locations.
Strong attention to detail, communication, and follow-through.
Reliable computer, internet connection, and remote workspace.
