Healthcare Insurance Coordinator
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Job Location:
Manila - Philippines
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
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 Youll 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
Key Skills
- Customer Service
- Dentrix
- Debits & Credits
- Insurance Verification
- Dental Receptionist
- Dental Office Experience
- Medical Billing
- Front Desk
- Filing
- CPT Coding
- Eaglesoft
- Medicare
