Healthcare Insurance Coordinator (South Africa | Remote)

Das ist der Job

What You'll Be Responsible For 1.

Darum lohnt es sich

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) 2.

Johannesburg, South Africa About the job Healthcare Insurance Coordinator (South Africa | Remote) Healthcare Insurance Coordinator (Full-Time) Schedule: 45 hours/week | 9:00 AM - 5:00 PM PST Location: Fully Remote 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.

Initial Authorization Support • 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 3.

Treatment Re-Authorization • 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 What Were Looking For • 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