About the job Healthcare Insurance Coordinator (Mexico | 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 adecuado 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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📌 Healthcare Insurance Coordinator (Mexico | Remote) (México)
🏢 Operationsarmy
📍 México