Healthcare Insurance Coordinator (Philippines | Remote)

Healthcare Insurance Coordinator (Full-Time) Schedule: 45 hours/week | 9:00 AM - 5:00 PM PST Location: Fully Remote Apply here: 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) 2. 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 Apply here: Originally posted on Himalayas