Healthcare Insurance Coordinator

3 weeks ago

Manila, National Capital Region, Philippines OperationsArmy Full time
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 For1. 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:
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