Healthcare Insurance Coordinator (PH | Remote)

OpsArmy


Date: 5 hours ago
City: Cebu City
Contract type: Full time
Remote
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

How to apply

To apply for this job you need to authorize on our website. If you don't have an account yet, please register.

Post a resume

Similar jobs

AU Senior Tax Accountant | Cebu

TOA Global, Cebu City
1 day ago
Location: CebuShift: 7am-4pm (Monday- Friday)Unlock your potential! At TOA Global, we have a deep commitment to empowering individuals to excel in their enterprises, careers, and communities. Our global footprint stretches across Australia, New Zealand, North America, Philippines, South Africa, and South America, supporting our global clients in the accounting industry.About This RoleYou will be working closely with the client to...

KC Finance Accounts Payable Senior Specialist

Kuehne+Nagel, Cebu City
1 day ago
It's more than a jobAs a finance professional at Kuehne+Nagel, your work includes managing budgets, strategic planning, and overseeing financial operations. You also help make ordinary and special moments possible for people around the world. Because your financial diligence allows your colleagues across the company to stay focused on the core of their work, whether it's getting vital healthcare products...

Business Relationship Officer

RCBC, Cebu City
2 days ago
Job SummarySupports the Business Center's volume objectives through account acquisition and cross-selling of YGC products. How will you contribute?Assist the Business Relationship Manager in achieving sales goals. Prepare monthly and daily sales call plans and reports and ensure correct recording of action plans and other essential information. Develop effective sales activities to help market retail banking products.What will make you...