Virtual Healthcare Coordinator: Verification & Scheduling

Edge; Peru (IL); On-site; USD 42,000 - 62,000; Full time

Job summary

Edge is seeking a virtual healthcare professional to support US-based clinics and providers. The role emphasizes navigating insurance portals, verifying coverage, and coordinating scheduling to ensure timely access to care.

The ideal candidate has hands-on experience with eligibility checks, prior authorizations, and billing concepts across PPO, HMO, Medicare and Medicaid, while maintaining patient communication with accuracy and professionalism.

Qualifications

• 1+ year of direct experience in US healthcare scheduling, eligibility, or prior authorizations.
• Strong understanding of PPO/HMO/Medicare/Medicaid concepts.
• Proficient with patient data and insurance portals.

Responsibilities

• Conduct eligibility and benefits verification prior to scheduled appointments.
• Prepare and submit prior authorization requests; review documentation for medical necessity.
• Schedule appointments, manage calendars, and communicate with patients to optimize care.

Skills

US Healthcare experience

Scheduling

Insurance verification

Prior authorizations

Tools

Availity

Optum

CoverMyMeds

Electronic Health Records

Job description

Edge is seeking a virtual healthcare professional to support US-based clinics and providers. The role emphasizes navigating insurance portals, verifying coverage, and coordinating scheduling to ensure timely access to care.

The ideal candidate has hands-on experience with eligibility checks, prior authorizations, and billing concepts across PPO, HMO, Medicare and Medicaid, while maintaining patient communication with accuracy and professionalism.