Remote Healthcare Case Coordinator (SNF) EST Hours

ISTA Personnel Solutions; South Africa; Remote; ZAR 200 000 - 300 000; Full time

Job summary

A leading global BPO provider in South Africa is seeking a Virtual Healthcare Case Coordinator. The successful candidate will manage medical billing and claims related to Skilled Nursing Facilities while collaborating with a US client. This fully remote role requires healthcare experience and familiarity with HIPAA compliance. The position involves ensuring compliance, investigating claims denials, and working with MS Office Suite. Strong analytical and communication skills are essential for success in this role.

Qualifications

• Healthcare experience required, preferably in billing, claims, authorizations, or case management.
• Familiarity with medical coding standards and HIPAA compliance is essential.
• Strong analytical and organizational skills to handle multiple tasks.

Responsibilities

• Manage patient accounts including claims processing.
• Oversee submission of medical claims and coding.
• Investigate claims denials with insurance providers.

Skills

Healthcare experience

Exposure to USA healthcare systems

Analytical skills

Problem-solving skills

Organizational skills

Attention to detail

Written communication skills

Verbal communication skills

Tools

MS Office Suite

Job description

A leading global BPO provider in South Africa is seeking a Virtual Healthcare Case Coordinator. The successful candidate will manage medical billing and claims related to Skilled Nursing Facilities while collaborating with a US client. This fully remote role requires healthcare experience and familiarity with HIPAA compliance. The position involves ensuring compliance, investigating claims denials, and working with MS Office Suite. Strong analytical and communication skills are essential for success in this role.