Healthcare Insurance Coordinator

4 days ago

Barcelona, Philippines OpsArmy Careers Full time

Healthcare Insurance Coordinator (Philippines | Remote)

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.

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 We're 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

Location details and related updates are provided for context on current postings and markets but do not alter the core responsibilities or qualifications of this role.

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