Healthcare Insurance Coordinator (South Africa | Remote)

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 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

Apply here:

Originally posted on Himalayas