Accountabilities:
- Verify active insurance coverage and review patient benefits in detail
- Obtain and manage prior authorizations for procedures, imaging, and specialty services
- Ensure compliance with HMO referral rules and payer-specific guidelines
Requirements:
- Proven experience independently obtaining prior authorizations
- Strong knowledge of Medicare, Medicaid, and commercial insurance plans (HMO, PPO, POS)
- Strong attention to detail and ability to manage high-volume workflows
Benefits:
- 100% remote position
- Full-time schedule (Monday to Friday)
- Exposure to U.S. healthcare insurance workflows
Jobgether
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against core role requirements. The system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.