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 RemoteWe are seeking an experienced and detail-orientedHealthcare Insurance Coordinatorto support our insurance verification and authorization processes.
This role is idóneo 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 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 SupportReview 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-AuthorizationReview 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 For4+ years of experiencein U. S. healthcare insurance coordination or revenue cycle management
Deep understanding ofVOB, prior authorizations, and treatment re-authorizations
Familiarity withpayer guidelines , including Medicaid and commercial plans
Experience working withinsurance portals or healthcare systems
High attention to detail and ability to handlesensitive patient datasecurely
Excellentwritten and verbal communication skills in English
Reliable internet connectionand ability to work consistently 45 hours per week