Healthcare Insurance Coordinator
- Manila City, Metro Manila
- Permanent
- Full-time
Location: Fully RemoteApply here:About the RoleWe 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 For1. Verification of Benefits (VOB)Contact insurance providers to verify patient eligibility and coverageAccurately document payer responses in internal systemsFlag missing or unclear information for internal review * Follow payer-specific guidelines (e.g., Medicaid vs. commercial insurance)2. Initial Authorization SupportReview patient intake documents and treatment recommendationsComplete 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 authorizationsTrack confirmation statuses and log any necessary follow-ups3. Treatment Re-AuthorizationReview clinical documentation and ongoing treatment plansSummarize 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 detailsTrack submission timelines to avoid lapses in treatment approvalsWhat 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