Healthcare Insurance Coordinator (South Africa | Remote)

About this role

Healthcare Insurance Coordinator (Full-Time)
Schedule: 45 hours/week | 9:00 AM - 5:00 PM PST
Location: Fully Remote
Apply here:
About the Role
We are seeking an experienced and detail-oriented Healthcare Insurance Coordinator to support our insurance verification and authorization processes. This role is ideal for someone with a strong background in U.S. healthcare insurance, who thrives in a structured, fast-paced, and compliance-driven environment.
What You'll Be Responsible For
1. Verification of Benefits (VOB)

• Contact insurance providers to verify patient eligibility and coverage

• Accurately document payer responses in internal systems

• Flag missing or unclear information for internal review

• Follow payer-specific guidelines (e.g., Medicaid vs. commercial insurance)

2. Initial Authorization Support

• Review patient intake documents and treatment recommendations

• Complete payer-specific authorization request forms

• Assemble and submit packets with supporting documents (e.g., treatment plans, credentials)

• Use payer portals, fax, or email to submit authorizations

• Track confirmation statuses and log any necessary follow-ups

3. Treatment Re-Authorization

• Review clinical documentation and ongoing treatment plans

• Summarize clinical data in alignment with payer requirements

• Ensure all documentation meets compliance standards (e.g., measurable goals)

• Copy and format relevant data (e.g., CPT codes, session logs)

• Coordinate with clinicians for clarification and missing details

• Track submission timelines to avoid lapses in treatment approvals

What Were Looking For

•
4+ years of experience in U.S. healthcare insurance coordination or revenue cycle management

• Deep understanding of VOB, prior authorizations, and treatment re-authorizations

• Familiarity with payer guidelines, including Medicaid and commercial plans

• Experience working with insurance portals or healthcare systems

• High attention to detail and ability to handle sensitive patient data securely

• Excellent written and verbal communication skills in English

•
Reliable internet connection and ability to work consistently 45 hours per week

Apply here:
Originally posted on Himalayas