Remote Medical Claims Specialist

Supporting a growing healthcare team, the full-time Remote Medical Claims Specialist will manage inbound and outbound calls, process prior authorization requests, and verify insurance eligibility while working from home. Key responsibilities Handle inbound and outbound calls related to medical claims processing Process prior authorization requests and verify insurance eligibility and benefits Coordinate with providers, pharmacies, and insurance companies to ensure accurate documentation Required qualifications 1+ year of recent experience in medical benefits, claims, billing, or prior authorizations Knowledge of medical terminology, insurance claims, and benefits verification Strong communication and customer service skills Ability to manage multiple tasks in a fast-paced environment High-speed internet with modem access required (hotspots not accepted)