Talent.com
No longer accepting applications
Healthcare Insurance Coordinator

Healthcare Insurance Coordinator

OperationsArmyWorkFromHome, Western Cape, South Africa
4 days ago
Job description

Overview

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.

Responsibilities

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
  • Employment Type : Full Time

    Experience : years

    Vacancy : 1

    #J-18808-Ljbffr

    Create a job alert for this search

    Healthcare Insurance • WorkFromHome, Western Cape, South Africa

    Related jobs
    • Promoted
    OUTsurance Broker (Western Cape)

    OUTsurance Broker (Western Cape)

    OUTsuranceCape Town, ZA
    Job title : OUTsurance Broker (Western Cape).Job Location : Western Cape, Cape Town.Overview and Purpose of the Role : .Our business product offering has grown significantly over the years whic...Show moreLast updated: 23 days ago
    Broker Consultant

    Broker Consultant

    Platinum TalentClaremont, WC, za
    Quick Apply
    Platinum Talent is recruiting on behalf of a leading financial services provider in South Africa.This organization offers innovative, flexible, and high-value insurance products tailored to individ...Show moreLast updated: 30+ days ago
    • Promoted
    Short-Term Insurance Administrator

    Short-Term Insurance Administrator

    Time PersonnelCape Town, South Africa
    Matric (Grade 12) qualification.RE5 certification is advantageous.FAIS compliant with the required credits.Broker Consultant within the short-term insurance sector. Valid drivers license and access ...Show moreLast updated: 14 days ago
    After-Sales Coordinator - Technical Support

    After-Sales Coordinator - Technical Support

    InvisionHRCape Town, Western Cape, ZA
    Quick Apply
    The After-Sales Coordinator is responsible for managing all technical service requests escalated from Frontline Customer Care. The role combines technical troubleshooting, administrative accuracy, a...Show moreLast updated: 23 days ago
    • Promoted
    Contract Administrator (UK Insurance)

    Contract Administrator (UK Insurance)

    The Legends AgencyCape Town, Western Cape, South Africa
    Contract Administrator (UK Insurance).Join an Award-Winning Property Management Company with a Prestigious Client Base.Remote | Market Related Dependent on Experience | 9 : 00 - 17 : 30 Monday to Frida...Show moreLast updated: 30+ days ago
    • Promoted
    Short-term Insurance Claims Administrator, Pinelands

    Short-term Insurance Claims Administrator, Pinelands

    Howland RecruitingCape Town, South Africa
    Are you a seasoned Short-term Insurance Claims Administrator with a passion for precision and client service? We’re looking for a dynamic individual to step into a 4-month maternity cover role at a...Show moreLast updated: 10 days ago
    Booking Coordinator

    Booking Coordinator

    The Legends AgencyCape Town, Western Cape, South Africa
    Quick Apply
    Join a high-performing healthcare staffing team in a dynamic, fast-paced environment.Office-based Gardens, Cape Town | Full-time | R25,000 per month. Our client is a nurse-led healthcare staffing ag...Show moreLast updated: 30+ days ago
    Guardianship Coordinator

    Guardianship Coordinator

    Sable InternationalCape Town, Western Cape, South Africa, 7708
    Sable International offers innovative professional services to international citizens.We create tailor-made solutions to meet the accounting, wealth, financial, currency and nationality needs of ou...Show moreLast updated: 7 days ago
    • Promoted
    Broker Consultant

    Broker Consultant

    Innovazi ConsultingCape Town, South Africa
    Were Hiring : Broker Consultant | Cape Town.Are you an experienced and driven professional in the short-term insurance industry looking to take the next step in your career?.An exciting opportunity ...Show moreLast updated: 16 days ago
    • Promoted
    Broker Assistant

    Broker Assistant

    Time PersonnelCape Town, South Africa
    Matric (Grade 12) qualification.RE5 certification is advantageous.FAIS compliant with the required credits.Broker Consultant within the short-term insurance sector. Valid drivers license and access ...Show moreLast updated: 16 days ago
    Out of hours Care - Co-Ordinator

    Out of hours Care - Co-Ordinator

    Marva Group LtdCape Town, Western Cape, South Africa
    Quick Apply
    Out of Hours Care Coordinator (Nights & Weekends).Location : Cape Town, South Africa.Hours : Nights and Weekends (Out of Hours). Sector : Homecare (Mental Health / Learning Disabilities).Marva Grou...Show moreLast updated: 3 days ago
    • Promoted
    Insurance Call Centre Agent

    Insurance Call Centre Agent

    Lewis GroupCape Town, South Africa
    The individual will be part of a team of Call Centre Agents that offer insurance products to customers.Candidates eligible for this vacancy should satisfy the relevant ‘fit and proper’ requirements...Show moreLast updated: 30+ days ago
    Partner Servicedesk Coordinator SA

    Partner Servicedesk Coordinator SA

    Excis Compliance ltdCape town, WC, za
    Quick Apply
    WE’RE HIRING AS A PARTNER SERVICE DESK COORDINATOR IN SOUTH AFRICA.Excis is a global IT support leader, driven by innovation and collaboration. We are looking for a highly organized and relationship...Show moreLast updated: 17 days ago
    Operations & Patient Support Coordinator

    Operations & Patient Support Coordinator

    Talent SamCape Town, WC, ZA
    Our Client helps people regain control of their health through functional testing and personalised nutrition.Their mission is to bring clarity and hope to those who have been failed by conventional...Show moreLast updated: 22 days ago
    • Promoted
    Broker Consultant | Cape Town

    Broker Consultant | Cape Town

    The Recruitment CouncilCape Town, South Africa
    Salary : R 300 000 - R 420 000 Per Annum.Are you a passionate Broker Consultant looking to make a significant impact in the financial services industry? An esteemed financial services company partn...Show moreLast updated: 30+ days ago
    Insurance Administrator

    Insurance Administrator

    The Legends AgencyCape Town, Western Cape, South Africa
    Remote
    Quick Apply
    Join a dynamic UK property services team from Cape Town, and support residential insurance processes end-to-end.Remote (Cape Town) | R25,000- R30,000 | Full-time | 37.Our client is a fast-grow...Show moreLast updated: 30+ days ago
    • Promoted
    Team Leader - Insurance

    Team Leader - Insurance

    LMP RECRUITCape Town, South Africa
    Cape Town | R35,000 CTC | Full-time.Are you currently a Team Leader or Supervisor working in a.Call Centre / BPO / Financial Services & Insurance / Telecom / or Energy & Utilities.Our client ...Show moreLast updated: 30+ days ago
    • Promoted
    Insurance Sales Team Leader

    Insurance Sales Team Leader

    Callforce DirectCape Town, South Africa
    Sales (Bank Insurance Campaign).To lead and manage a high-performing team of insurance sales agents in a BPO environment, ensuring that sales targets, compliance requirements, and service levels ar...Show moreLast updated: 30+ days ago