2 689
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Healthcare Insurance Coordinator (South Africa | Remote)
OpsArmy
Johannesburg
À distance
ZAR 886 000 - 1 242 000
Il y a 30+ jours
Je veux recevoir les dernières offres d’emploi à Pretoria
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Healthcare Insurance Coordinator (South Africa | Remote)
OpsArmy
Johannesburg
À distance
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Plein temps
Il y a 30+ jours
Résumé du poste
A leading healthcare solutions provider is seeking a Healthcare Insurance Coordinator to support insurance verification and authorization processes. The role is fully remote and requires over 4 years of experience in U.S. healthcare insurance. Responsibilities include contacting insurance providers, reviewing documentation, and ensuring compliance with standards. Ideal candidates are detail-oriented and possess strong communication skills in English.
Qualifications
- 4+ years of experience in U.S. healthcare insurance coordination or revenue cycle management.
- Deep understanding of verification of benefits, prior authorizations, and treatment re-authorizations.
- Familiarity with payer guidelines, including Medicaid and commercial plans.
Responsabilités
- Contact insurance providers to verify patient eligibility and coverage.
- Review patient intake documents and treatment recommendations.
- Ensure all documentation meets compliance standards.
Connaissances
Experience in U.S. healthcare insurance coordination
Attention to detail
Communication skills in English
Description du poste
Healthcare Insurance Coordinator (Full-Time)
Schedule: 45 hours/week | 9:00 AM - 5:00 PM PST
Location: Fully Remote
Apply here: https://operationsarmy.com/application
About The Role
We are seeking an experienced and detail-oriented Healthcare Insurance Coordinator to support our insurance verification and authorization processes. This role is ideal for someone with a strong background in U.S. healthcare insurance, who thrives in a structured, fast-paced, and compliance-driven environment.
What You'll Be Responsible For
1. Verification of Benefits (VOB)
Schedule: 45 hours/week | 9:00 AM - 5:00 PM PST
Location: Fully Remote
Apply here: https://operationsarmy.com/application
About The Role
We are seeking an experienced and detail-oriented Healthcare Insurance Coordinator to support our insurance verification and authorization processes. This role is ideal for someone with a strong background in U.S. healthcare insurance, who thrives in a structured, fast-paced, and compliance-driven environment.
What You'll Be Responsible For
1. Verification of Benefits (VOB)
- Contact insurance providers to verify patient eligibility and coverage
- Accurately document payer responses in internal systems
- Flag missing or unclear information for internal review
- Follow payer-specific guidelines (e.g., Medicaid vs. commercial insurance)
- Review patient intake documents and treatment recommendations
- Complete payer-specific authorization request forms
- Assemble and submit packets with supporting documents (e.g., treatment plans, credentials)
- Use payer portals, fax, or email to submit authorizations
- Track confirmation statuses and log any necessary follow-ups
- Review clinical documentation and ongoing treatment plans
- Summarize clinical data in alignment with payer requirements
- Ensure all documentation meets compliance standards (e.g., measurable goals)
- Copy and format relevant data (e.g., CPT codes, session logs)
- Coordinate with clinicians for clarification and missing details
- Track submission timelines to avoid lapses in treatment approvals
- 4+ years of experience in U.S. healthcare insurance coordination or revenue cycle management
- Deep understanding of VOB, prior authorizations, and treatment re-authorizations
- Familiarity with payer guidelines, including Medicaid and commercial plans
- Experience working with insurance portals or healthcare systems
- High attention to detail and ability to handle sensitive patient data securely
- Excellent written and verbal communication skills in English
- Reliable internet connection and ability to work consistently 45 hours per week
* Le salaire de référence se base sur les salaires cibles des leaders du marché dans leurs secteurs correspondants. Il vise à servir de guide pour aider les membres Premium à évaluer les postes vacants et contribuer aux négociations salariales. Le salaire de référence n’est pas fourni directement par l’entreprise et peut pourrait être beaucoup plus élevé ou plus bas.
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