Insurance, Authorization & Billing Coordinator (Remote)

This role is responsible for ensuring all patients are properly verified, authorized, documented, and billed correctly. This position protects company revenue, ensures compliance, and maintains accurate financial tracking.

This role directly impacts cash flow, claim approval, and audit risk.



Core Responsibilities

1. Insurance Verification
• Verify all patient insurance benefits prior to evaluation
• Document:
• copays
• deductibles
• visit limits
• authorization requirements
• Ensure accuracy and completeness



2. Authorization Management
• Submit authorizations within 1 business day
• Track all pending authorizations daily
• Follow up with insurance companies
• Prevent delays in patient care


3. Plan of Care (POC) Management
• Fax POCs to physicians
• Follow up until signed and returned
• Maintain compliance documentation

4. Billing & Collections Support
• Track patient balances (copays/private pay)
• Send invoices and reminders
• Follow up on unpaid balances
• Coordinate with billing systems


5. Documentation Accuracy
• Ensure all patient records are complete
• Prevent errors that lead to claim denials
• Maintain audit-ready documentation

KPIs
• Verification accuracy: ?95%
• Authorization submission time: ?1 business day (?95%)
• POC return rate within 7 days: ?90%
• Collections rate: ?90% (goal 95%)
• Admin error rate: ?3%


Ideal Candidate
• Experience with U.S. insurance verification (REQUIRED)
• Knowledge of Medicare, auto, and commercial plans
• Detail-oriented and process-driven
• Strong follow-up discipline