Healthcare Insurance Coordinator

3 weeks ago

Calamba, Philippines OpsArmy Full time

Overview

Healthcare Insurance Coordinator (Full-Time)

Schedule: 45 hours/week | 9:00 AM - 5:00 PM PST

Location: Fully Remote

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.

Responsibilities
  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
Qualifications
  • 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
#J-18808-Ljbffr

  • Clinical Coordinator

    4 weeks ago

    Calamba, Philippines CALAMBA DOCTORS COLLEGE Full time

    • Must be a Registered Nurse with a valid PRC license • At least 1 to 2 years of clinical experience in a hospital or healthcare setting • Experience in student supervision and performance evaluation • Proficient in coordinating schedules, documentation, and liaising with clinical partners

  • Account Assistant

    4 days ago

    Calamba, Calabarzon, Philippines FPG Insurance Inc Full time ₱150,000 - ₱250,000 per year

    Over a century of entrepreneurial experience in the Asia Pacific region, aligned with our Swiss & Asian Heritage.Established in 1958 by the Zuellig Group of Companies, FPG Insurance has built an enviable reputation for developing in-depth customer insights that support the creation of relevant, comprehensive insurance products across Asia, for both business...

  • Clinical Coordinator

    5 days ago

    Calamba, Philippines Lavender Full time

    Join to apply for the Clinical Coordinator role at Lavender . Founded in 2020, Lavender is the largest nurse‑owned and operated online psychiatry and therapy office in the United States. Our extraordinary team of 100+ talented and like‑minded folks works remotely from across the United States, Canada, and the Philippines to collaboratively increase...

  • Delivery Coordinator

    4 days ago

    Calamba, Calabarzon, Philippines Sumitronics Phils Inc Full time ₱180,000 - ₱300,000 per year

    Qualifications/Requirements:Candidate must have a Bachelor's Degree of 4-year course.With experience in Warehouse or Delivery Coordinator/Assistant.With critical thinking skills. Can handle conflicts and problems, and has good communication skills.Knowledgeable in PEZA and BOC documents.The candidate to be chosen will be handling the following...

  • HR Coordinator

    1 week ago

    Calamba, Calabarzon, Philippines MAXIMUM SOLUTIONS CORPORATION Full time ₱300,000 - ₱450,000 per year

    Assist with all internal and external HR related matters.Coordinate employee onboarding and orientation programs.Assist with the recruitment process by identifying candidates, conducting reference checks, and issuing employment contracts.Manage the organization's employee database and prepare reports.Produce and submit reports on general HR activity.Ensure...

  • Project Coordinator

    4 days ago

    Calamba, Calabarzon, Philippines R Land Development Inc Full time ₱600,000 - ₱1,000,000 per year

    Job descriptionThe Project Coordinator is responsible for the planning, coordination, and execution of infrastructure projects in the Municipality of Bay, Laguna. The role will work closely with project managers, government agencies, contractors, and stakeholders to ensure project deliverables are met efficiently and comply with applicable...

  • Communications Coordinator

    2 days ago

    Calamba, Calabarzon, Philippines Pioneer Adhesives Inc Full time ₱216,000 - ₱264,000 per year

    The Communications Coordinator will collaborate with the Program Specialist and report directly to the Executive Director. Their primary role is to strategize, create and distribute internal and external communications for The Foundation. He/ she will also track the effectiveness of the communications plans of the Foundation and make recommendations for...

  • Supply Chain Coordinator

    4 days ago

    Calamba, Calabarzon, Philippines Growsari Inc Full time ₱300,000 - ₱360,000 per year

    Job Summary:The DTS Coordinator is responsible for planning, coordinating, and monitoring deliveries from Direct-to-Store (DTS) vendors directly to our Micro Fulfillment Centers (MFCs). This role ensures that MFCs receive the right products at the right time and quantity to meet customer demand while maintaining high service levels and minimal stockouts.The...

  • Admin Officer- Medical Clinic

    4 days ago

    Calamba, Calabarzon, Philippines Bonafide Group Of Companies Full time $40,000 - $60,000 per year

    QUALIFICATIONS:· With a degree in Bachelor of Science in Business Administration- Operations Management or any related course· With experience supervising a medical or diagnostic clinic· With knowledge in the operations of a medical or diagnostic clinicKeen into detailsJOB DESCRIPTION:A. Daily Operations Management:· Monitor and ensure smooth day-to-day...

  • Medical Sales Representative

    4 days ago

    Calamba, Calabarzon, Philippines P R O Medica Full time ₱228,000 per year

    Job Overview:As a Medical Representative, you will play a crucial role in promoting and selling pharmaceutical and medical products to healthcare professionals including doctors, pharmacists, and hospital staff. Your primary responsibility will be to establish and maintain strong relationships with healthcare providers while providing them with accurate...