Health Insurance Associate

Edge; Arequipa; A distancia; PEN 155.000 - 258.000; Jornada completa

Descripción de la vacante

Edge is seeking healthcare professionals based in Peru with hands-on experience supporting U.S. healthcare practices. This role combines 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.

Formación

• Fluent in English and Spanish required, verbal and written.
• Hands-on experience supporting U.S. healthcare practices or U.S. health insurance processes.
• Familiar with scheduling tools, EHR/EMR platforms, and insurer portals.

Responsabilidades

• Handle inbound/outbound calls, emails, and patient communications in English and Spanish.
• Manage appointment scheduling, patient intake, and front-desk support.
• Verify health insurance eligibility and benefits across U.S. payer portals.

Conocimientos

Bilingual English/Spanish

U.S. healthcare experience

Customer service

EHR/EMR systems

Appointment scheduling

Herramientas

EHR/EMR platforms

Scheduling tools

Insurance portals

Descripción del empleo

********If you live in a province outside of Lima, you must be willing and able to travel to Miraflores, Lima to collect your work equipment in person before your start date.********

Who We Are

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.

Talent Boilerplate

• At Edge, we’re on a mission to create a world where geographic borders are no longer a barrier for people to obtain full-time employment and fair wages. That’s why we’ve created a global hiring network that seamlessly connects exceptional talent from all over the world with businesses in North America that most need to fill positions. The Edge Talent Network is a community of like-minded professionals through which you can unlock your potential, showcase your skills, and earn what you’re worth.

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.