Fort Worth, TX
Join a team of Medical Insurance Reimbursement Specialists where you will be the key link between providers, payers, and patients!
Apply today for this great opportunity!
Location: Remote - all candidates must reside in TX, NC, SC, TN, KY, IN, GA, or AZ Only
Compensation & Schedule
• Pay: $20/hr.
•Schedule: Monday - Friday, must be available between 8am - 6pm – must be available for potential overtime and weekend needs
ROLE IMPACT
The Medical Insurance Reimbursement Specialist ensures timely and accurate processing of insurance benefit investigations, prior authorizations, and related documentation to support patient access to therapy. This role directly impacts patient care by removing reimbursement barriers and providing exceptional support to providers, payers, and internal teams, ensuring smooth and compliant program operations.
KEY RESPONSIBILITIES
• Collect and review patient insurance benefit information according to program SOPs
• Complete and submit required insurance forms and program applications for prior authorizations in a timely manner
• Track and follow up on prior authorization requests, escalating issues when necessary
• Maintain accurate documentation for all provider, payer, and client interactions
• Communicate with payers, providers, pharmacies, and internal teams to resolve benefit and authorization issues
MINIMUM QUALIFICATIONS
• 2+ years’ experience in reimbursement, medical billing, or healthcare administration
• Working knowledge of prior authorization processes and insurance benefit verification
• Strong written and verbal communication skills, with proven customer service experience
PREFERRED SKILLS
• Experience with specialty pharmacy reimbursement
• Knowledge of medical terminology and coding (ICD, CPT, HCPCS)
• Ability to handle high-volume case management in a fast-paced environment
LEGAL NOTICE
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