Key Facts

Remote From:

Full time

Expert & Leadership (>10 years)

English

Hard Skills

Prior Authorization Revenue Management Clinical Data Management Health Administration CPT Coding Clinical Documentation Online Communication Medical Privacy Patient Education And Counseling

Other Skills

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Non-Verbal Communication
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Time Management
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Detail Oriented
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Reliability

Roles & Responsibilities

4+ years of experience in U.S. healthcare insurance coordination or revenue cycle management
Deep understanding of verification of benefits (VOB), prior authorizations, and treatment re-authorizations
Familiarity with payer guidelines, including Medicaid and commercial plans
Experience working with insurance portals or healthcare systems

Requirements:

Conduct Verification of Benefits by contacting insurance providers to confirm patient eligibility and coverage, document payer responses, flag issues, and follow payer guidelines.
Support Initial Authorizations by reviewing intake documents, completing authorization forms, assembling packets with supporting documents, submitting via portals/fax/email, and tracking statuses with follow-ups.
Support Treatment Re-Authorization by reviewing clinical documentation and ongoing treatment plans, ensuring documentation meets payer requirements and compliance standards, and coordinating with clinicians to avoid lapses in approvals.

Job description

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