Virtual Healthcare Case Coordinator (Skilled Nursing) - EST hours (Remote)

Overview

STA Personnel Solutions South Africa - We are a global Business Process Outsourcing (BPO) provider based in South Africa, working with a US-based client in the healthcare revenue cycle management space. We are currently looking for a Virtual Healthcare Case Coordinator with experience in Skilled Nursing Facilities (SNFs) to join our team.

The successful candidate will be responsible for managing medical billing, initial authorizations, and case management activities related to Skilled Nursing Facilities. You will work remotely and collaborate with our US client during Eastern Standard Time (EST) hours.

Responsibilities

• Manage patient accounts, including claims processing and authorization tracking.
• Oversee the accurate and timely submission of medical claims, including appropriate coding.
• Review clinical documentation to support authorization and care coordination.
• Investigate and resolve claim denials in collaboration with insurance providers.
• Work alongside clinical, billing, and administrative teams to ensure continuity in patient care and revenue cycle processes.
• Use MS Office (Outlook, Excel, PDF) to manage documentation and communications.
• Ensure compliance with relevant healthcare and data protection regulations (e.g. HIPAA).

Requirements

If you are not contacted within 14 working days, please consider your application unsuccessful.

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