Healthcare Insurance Coordinator
1 week ago
**Healthcare Insurance Coordinator (Full-Time)**:
**Schedule**: 45 hours/week | 9:00 AM - 5:00 PM PST
**Location**: Fully Remote
**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)
- 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
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