Jobs in East London, United States

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.