Administrative Coordinator – NEMT, Insurance

2 days ago

Manila, National Capital Region, Philippines RidenRoll Full time ₱250,000 - ₱500,000 per year
About the Role:

We are seeking a highly organized and detail-oriented Administrative Coordinator with a strong background in the Non-Emergency Medical Transportation (NEMT) industry, insurance coordination, and medical billing and coding. This individual will play a key role in ensuring our transportation services align with payer requirements, broker expectations, and industry compliance standards.

Key Responsibilities:
  • Coordinate and manage daily administrative operations related to NEMT services.
  • Work directly with insurance brokers and payers for eligibility verification, pre-authorizations, and policy alignment.
  • Manage and submit medical transportation claims for Medicaid/Medicare and private insurers.
  • Handle billing, coding, and documentation to ensure accurate and timely reimbursements.
  • Support credentialing, contract management, and affiliation processes with NEMT brokers (e.g., ModivCare, MTM).
  • Track and resolve denied claims, resubmissions, and follow-ups.
  • Maintain driver and patient records with a high level of confidentiality and HIPAA compliance.
  • Assist with audits, reports, and compliance documentation.
  • Communicate effectively with fleet operators, drivers, healthcare providers, and patients.
Qualifications:
  • 2+ years of administrative experience in the NEMT, insurance, or healthcare billing field
  • Familiarity with NEMT brokers such as ModivCare, MTM, Access2Care, etc.
  • Working knowledge of medical billing software, HCPCS/CPT coding, and claims submission portals.
  • Strong understanding of Medicaid and Medicare transportation billing guidelines.
  • Experience working with insurance brokers and/or third-party administrators.
  • Excellent written and verbal communication skills.
  • Strong organizational skills with attention to detail and the ability to multitask.
  • Proficient in Microsoft Office Suite and/or Google Workspace.
Preferred Qualifications (Not Required):
  • Certification in Medical Billing & Coding (CPC, CMRS, or equivalent).
  • Prior experience with NEMT dispatch platforms or ride management systems.
  • Experience with transportation licensing or DOT compliance.

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