Strong knowledge of Medicare, Medicaid, and commercial plans (HMO, PPO, POS)
Experience using payer portals and EMR/EHR systems
Requirements:
Verify active insurance coverage and review detailed benefits
Obtain and manage prior authorizations for procedures, imaging, and specialty services
Submit and track authorization requests through payer portals and attach required clinical documentation
Enter and document authorization details in EMR/EHR systems and follow up on pending authorizations and denials
Job description
This is a remote position.
We are hiring an experiencedPre-Authorization & Referral Coordinatorto support a fast-pacedU.S.-based medical office. This role is responsible for insurance verification, prior authorizations, and referral coordination while ensuring compliance with U.S. insurance guidelines. The ideal candidate has direct experience working within the U.S. healthcare system handling Medicare, Medicaid, and commercial insurance plans.
This is a full-time remote position supporting a medical practice located in the United States. The role is offered as anIndependent Contractoropportunity. Key Responsibilities
Verify active insurance coverage and review detailed benefits
