Healthcare Insurance Coordinator (Mexico | Remote)

OperationsArmy; A distancia; MXN 358,000 - 538,000; Jornada completa

Descripción de la vacante

A healthcare solutions provider is seeking a Healthcare Insurance Coordinator to support insurance verification and authorization processes. This remote full-time role requires over 4 years of experience in U.S. healthcare insurance coordination, a strong understanding of verification of benefits and prior authorizations. The ideal candidate will have excellent communication skills, high attention to detail, and the ability to securely handle sensitive patient data. Reliable internet connection is critical for this position.

Formación

• 4+ years of experience in U.S. healthcare insurance coordination or revenue cycle management.
• Deep understanding of verification of benefits, prior authorizations, and treatment re-authorizations.
• Familiarity with payer guidelines, including Medicaid and commercial plans.

Responsabilidades

• Contact insurance providers to verify patient eligibility and coverage.
• Complete payer-specific authorization request forms.
• Ensure all documentation meets compliance standards.

Conocimientos

U.S. healthcare insurance coordination

Attention to detail

Excellent written communication skills

Understanding of payer guidelines

Descripción del empleo

About the job Healthcare Insurance Coordinator (Mexico | Remote)

Healthcare Insurance Coordinator (Full-Time)

Schedule: 45 hours/week | 9:00 AM - 5:00 PM PST
Location: Fully Remote

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