Insurance Specialist – Prior Authorization

Meduit | Driving Revenue Cycle Performance

Insurance Specialist working remotely to resolve insurance processing errors in healthcare. Utilizing expertise in patient billing, claims submission, and payer guidelines for accurate payments.

Posted 5/29/2026full-timeRemote • Ohio • 🇺🇸 United StatesJuniorMid-Level💰 $18 - $21 per hourWebsite

About the role

Key responsibilities & impact

Reduce outstanding accounts receivable by managing claims inventory
Speak to patients and insurance companies in a professional manner regarding their outstanding balances
Gather information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc.
Request, input, verify, and modify patient’s demographic, primary care provider, and payor information
Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.
Answer questions by phone and provide quotes for services
Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts
Explain charges, answer questions, and communicate requirements, policies, and procedures regarding patient financial care services to patients, staff, payors, and agencies
Work with Claims and Collections to assist patients with billing and payment activities

Requirements

What you’ll need

High School Diploma/GED
2+ years of Denials Management experience
2+ years Medical Billing/Follow-up experience
Medicare, Medicaid, and commercial payor experience
Experience with WC Pre-Access
Proficiency with PC-based applications (Microsoft Outlook, Word, and Excel)
Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED.
Access to a Secure and Private workspace
Employment eligibility: Must be legally authorized to work in the United States without sponsorship
Pre-employment background check will be conducted
Candidates residing in the state of New York cannot be considered.

Benefits

Comp & perks

Comprehensive paid training
Medical, dental, and vision insurance
HSA and FSA available
401(k) with company match
Paid Wellness Time and Holidays
Employer paid life insurance and long-term disability
Internal growth opportunities

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

Denials ManagementMedical BillingClaims ManagementEligibility VerificationPre-AuthorizationPatient Account ManagementBilling ProceduresCustomer ServiceData EntryFinancial Care Services

Soft Skills

CommunicationInterpersonal SkillsProfessionalismProblem SolvingOrganizational SkillsAttention to DetailTimelinessCustomer FocusTeam CollaborationAdaptability

Certifications

High School DiplomaGED