Health Insurance Associate

Edge; Comisión de Fomento de Perú; Remote; ARS 53,055,000 - 83,372,000; Full time

Job summary

Edge is seeking healthcare support professionals based in Peru to assist U.S. healthcare practices with administrative and clinical coordination. The role blends front-end and back-end support, helping patients and providers navigate scheduling, billing, and insurance workflows.

Ideal candidates will have direct experience with U.S. health insurance processes, eligibility verification, and prior authorizations, and will communicate effectively in English and Spanish, both verbally and in writing.

Qualifications

• Bilingual English/Spanish required.
• Hands-on experience supporting U.S. healthcare practices or insurance processes.
• Strong customer service orientation and attention to detail.

Responsibilities

• Handle English and Spanish patient communications (inbound/outbound).
• Schedule appointments and assist with patient intake and front-desk tasks.
• Verify health insurance eligibility and benefits for U.S. payer portals.
• Obtain prior authorizations and track referrals with carriers.

Skills

Bilingual English/Spanish

Healthcare coordination

Customer service

Attention to detail

Problem solving

Tools

EHR/EMR platforms

Scheduling tools

Job description

EDGE is building a bridge between Top Global Talent and the US Healthcare & Insurance Industry. We are on a mission to create a borderless network of exceptional talent with people at the center of everything we do. Learn more about us at onedge.co.

About the Role

We are seeking healthcare professionals based in Peru with hands-on experience supporting U.S. healthcare practices. This role combines both front-end and back-end healthcare support responsibilities, helping patients and providers navigate administrative and clinical coordination processes efficiently.

The ideal candidate has direct experience working with U.S. health insurance processes and patient coordination tasks.

Key Responsibilities

• Handle inbound/outbound calls, emails, and patient communications professionally in English and Spanish.
• Manage appointment scheduling, patient intake, and medical reception/front-desk support.
• Perform health insurance eligibility and benefits verification across U.S. payer portals.
• Obtain prior authorizations, track referral coordination, and follow up with health insurance carriers.
• Communicate directly with providers, billing teams, and insurance plans to resolve coverage questions and obtain missing clinical documentation.
• Maintain accurate, audit-ready patient records, tracking deadlines and workflow timelines within Electronic Health Record (EHR) / Practice Management systems.
• Escalate complex claims, billing errors, or coverage disputes to appropriate team leaders.

Requirements

• Located in Peru with a reliable work-from-home setup (stable internet connection and power backup required).
• Fluency in English and Spanish (verbal and written).
• Prior hands-on experience supporting U.S. healthcare practices, clinical workflows, or U.S. health insurance processes.
• Familiarity with scheduling tools, EHR/EMR platforms, insurance eligibility portals, and prior authorization workflows.
• Strong problem-solving, customer service orientation, and high attention to detail.

Our Hiring Process

• Application Review: Submit your application and resume. Our team carefully evaluates all candidates to ensure a good fit.
• Edge Interview: You'll be invited to connect with a representative from Edge to present a detailed and tailored fit to your profile.
• Client Interviews: Successful candidates participate in interviews with clients to showcase their skills and align with specific client needs.
• Final Selection: Once a strong match is made, you’ll join the Edge Global Talent Community, ready to make an impact in the world of healthcare.

Equal Opportunity Employer Statement

• Edge is proud to be an equal-opportunity employer. We are committed to fostering a diverse and inclusive work environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, physical or mental disability, age, veteran status, or any other legally protected basis.