Remote Insurance & Enrollment Specialist - 30 hrs/wk

Go Lean Health; Ilocos Norte; Remote; PHP 435,000 - 522,000; Full time

Job summary

Go Lean Health is seeking a Back-Office Insurance Specialist to support a US-based nonprofit behavioral health organization.

This role focuses on credentialing, insurance verification, prior authorization, and enrollment tasks, moving patients through eligibility and enrollment processes while maintaining accurate records and HIPAA compliance.

Ideal candidates are highly organized, detail-oriented, and proficient with AdvancedMD and payer portals, able to work remotely for 30 hours a week.

Qualifications

• Experience with insurance verification and authorizations.
• Familiarity with EHR systems; AdvancedMD preferred.
• Attention to detail and strong organizational skills.
• Professional English communication.

Responsibilities

• Verify patient eligibility and benefits with commercial plans and Medicaid.
• Initiate and process prior authorization requests.
• Review eligibility and prepare enrollment documents.
• Update patient charts and ensure HIPAA compliance.
• Coordinate with front-desk VMA and treatment teams.
• Document backlog and improve back-office processes.

Skills

Insurance verification

Prior authorizations

Case management

HIPAA compliance

Tools

AdvancedMD

Payer portals

Microsoft Teams

Job description

Go Lean Health is seeking a Back-Office Insurance Specialist to support a US-based nonprofit behavioral health organization.

This role focuses on credentialing, insurance verification, prior authorization, and enrollment tasks, moving patients through eligibility and enrollment processes while maintaining accurate records and HIPAA compliance.

Ideal candidates are highly organized, detail-oriented, and proficient with AdvancedMD and payer portals, able to work remotely for 30 hours a week.