HEALTHCARE INSURANCE COORDINATOR (PHILIPPINES | REMOTE)
operationsarmy-careers
Full-timemid
Job description
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)
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Contact insurance providers to verify patient eligibility and coverage
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Accurately document payer responses in internal systems
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Flag missing or unclear information for internal review
• Follow payer-specific guidelines (e.g., Medicaid vs. commercial insurance)
2. Initial Authorization Support
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Review patient intake documents and treatment recommendations
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Complete payer-specific authorization request forms
• Assemble and submit packets with supporting documents (e.g., treatment plans, credentials)
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Use payer portals, fax, or email to submit authorizations
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Track confirmation statuses and log any necessary follow-ups
3. Treatment Re-Authorization
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Review clinical documentation and ongoing treatment plans
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Summarize clinical data in alignment with payer requirements
• Ensure all documentation meets compliance standards (e.g., measurable goals)
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Copy and format relevant data (e.g., CPT codes, session logs)
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Coordinate with clinicians for clarification and missing details
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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
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Experience working with insurance portals or healthcare systems
• High attention to detail and ability to handle sensitive patient data securely
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Excellent written and verbal communication skills in English
• Reliable internet connection and ability to work consistently 45 hours per week
Apply here: https://operationsarmy.com/application