Healthcare Insurance Coordinator

15 hours ago

Manila, National Capital Region, Philippines OpsArmy Careers Full time ₱70,000 - ₱120,000 per year

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 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

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