Healthcare Insurance Coordinator (South Africa | Remote)OperationsArmy • WorkFromHome, Eastern Cape, South Africa

Healthcare Insurance Coordinator (South Africa | Remote)

OperationsArmy • WorkFromHome, Eastern Cape, South Africa

30+ days ago

Job type

Remote

Job description

Johannesburg, South Africa

About the job Healthcare Insurance Coordinator (South Africa | Remote)

Healthcare Insurance Coordinator (Full-Time)

Schedule : 45 hours / week | 9 : 00 AM - 5 : 00 PM PST

Location : Fully Remote

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

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South Africa • WorkFromHome, Eastern Cape, South Africa

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