This job offer is not available in your country.

Healthcare Insurance Coordinator (South Africa | Remote)

OperationsArmyJohannesburg, South Africa

30+ days ago

Job type

Remote

Quick Apply

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)

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 : https : / / operationsarmy.com / application

Create a job alert for this search

Remote South Africa • Johannesburg, South Africa

Related jobs

Patient Onboarding & Insurance Coordinator (Healthcare) - EST Hours (Remote

ISTA Personnel SolutionsGauteng, ZA

Remote

Quick Apply

ISTA Personnel Solutions South Africa.BPO company, specializing in providing top-tier operational support to U.We are not a recruitment agency — we are a dedicated extension of our clients’ teams, ...Show moreLast updated: 3 days ago

Patient Communications Coordinator (US Healthcare) - EST Hours (Remote)

ISTA Personnel SolutionsGauteng, ZA

Remote

Quick Apply

ISTA Personnel Solutions South Africa.BPO company based in South Africa, specializing in providing top-tier operational support to U. We are not a recruitment agency — we are a dedicated extension o...Show moreLast updated: 15 days ago

Promoted

Key Accounts Manager - Short-term insurance

Profession HubJohannesburg, South Africa

We are looking for a passionate, self-driven, and detail-oriented team player dedicated to customer success.The role involves nurturing existing client relationships and identifying new business op...Show moreLast updated: 29 days ago

Promoted

Team Leader and Training Coordinator - Hospital Risk Management

Fusion PersonnelJohannesburg, South Africa

Nursing qualification (Diploma / Degree) with SANC registration (essential).Experience in pre-authorisation, case management, and clinical auditing within a managed healthcare / medical scheme environm...Show moreLast updated: 16 days ago

Promoted

Operations & Growth Coordinator | South Africa | Remote

OperationsArmyJohannesburg, South Africa

Operations & Growth Coordinator (100% Remote).In this cross-functional role, you'll help ensure high-value conversations and projects don't fall through the cracks clearing inbox chaos, maintaining...Show moreLast updated: 30+ days ago

Health Insurance Coordinator

MSA Outsourcing Solutions - UKJohannesburg, Gauteng, ZA

Quick Apply

MSA Outsourcing Solutions - UK is looking for a meticulous and results-driven Health Insurance Coordinator to join one of our UK based clients. In this role, you will support consultants by managing...Show moreLast updated: 17 days ago

Promoted

Broker Support Agent Claims

Telesure Investment HoldingsJohannesburg, ZA

Job title : Broker Support Agent Claims.Job Location : Gauteng, Johannesburg.Manage and process claims by working together as a team to guide the broker / policyholder along the claims process, inv...Show moreLast updated: 12 days ago

Promoted

Business Development Manager (HealthcareDevelopment)

Boardroom AppointmentsKempton Park, South Africa

Head of Healthcare Development.Business Development Identify and target new business opportunities within the Healthcare sector. Responsible for achieving sales target through lead generation, prosp...Show moreLast updated: 30+ days ago

Promoted

OUTsurance Broker (Centurion)

OUTsuranceCenturion, Gauteng, South Africa

OUTsurance has been propelling the South African insurance industry forward for the last 26 years.As leaders in the field, we’re always looking for innovative ways to create digitally-advanced solu...Show moreLast updated: 30+ days ago

Healthcare Compliance Coordinator (ABA Therapy) - EST hours (Remote)

ISTA Personnel SolutionsGauteng, ZA

Remote

Quick Apply

BPO company, partnering with a USA-based client offering ABA Therapy, is seeking a diligent and personable.Registered Behaviour Technicians (RBTs). This role involves daily follow-ups with field sta...Show moreLast updated: 15 days ago

Intake & Admissions Coordinator (Healthcare) - EST Hours (Remote)

ISTA Personnel SolutionsGauteng, ZA

Remote

Quick Apply

Promoted

Claims Coordinator

MC Technology StaffingJohannesburg, South Africa

Managing multiple insurer accounts (ABSA, Standardbank, Nedbank, Old Mutual, and other major partners).Coordinating assessments and repairs for residential and commercial security systems.Compiling...Show moreLast updated: 22 days ago

Promoted

Virtual Insurance Broker

The Recruitment CouncilJohannesburg, South Africa

Location : Johannesburg, Pretoria, East Rand, Cape Town, Stellenbosch, Paarl, Durban, Pietermaritzburg, Richards Bay, Port Elizabeth, East London, Mthatha, Bloemfontein, Welkom, Bethlehem, Rustenbur...Show moreLast updated: 30+ days ago

AfterHours Care Coordinator (US Healthcare) - EST Hours (Remote)

ISTA Personnel SolutionsGauteng, ZA

Remote

Quick Apply

Promoted

Life Claims Assessor

Isilumko Staffing (JHB)Johannesburg, South Africa

To ensure claims are assessed accurately and communicated effectively, in line with business rules and service level agreements. Assess an average of 7 benefits per day.Communicate formally and prof...Show moreLast updated: 8 days ago

Promoted

Claims Assessor : Life / Death / Disability / Severe illness - 6 month contract

Isilumko Staffing (JHB)Johannesburg, South Africa

Position : Claims Assessor – Individual Life Benefits.Industry : Long-Term Insurance | Banking Client.Are you a detail-oriented professional with a passion for precision, service excellence, and impa...Show moreLast updated: 7 days ago

Pre-Authorization Data Coordinator - EST Hours (Remote)

ISTA Personnel SolutionsGauteng, ZA

Remote

Quick Apply

ISTA Personnel Solutions South Africa.BPO company based in South Africa, specializing in providing top-tier operational support to U. We are not a recruitment agency—we are a dedicated extension of ...Show moreLast updated: 15 days ago

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

ISTA Personnel SolutionsGauteng, ZA

Remote

Quick Apply

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.Vir...Show moreLast updated: 15 days ago