Job Overview

Our client is seeking a Medical Insurance & Patient Support Coordinator to manage critical administrative and insurance-related workflows within the healthcare industry. This role is essential for ensuring that patient treatments continue without interruption by managing authorizations, medical reporting, and physician requests. You will serve as a key point of contact for insurance determinations and medical record distribution, requiring a blend of technical healthcare knowledge and exceptional customer service. If you have experience in the medical field and thrive in a fast-paced, remote environment, this is an opportunity to contribute to high-quality patient care operations.

Schedule

• Monday - Friday, 8:30 AM - 5:00 PM (Los Gatos, CA), with a 30-minute unpaid break (40 hours per week)

Responsibilities

• Authorization Management: Handle extension requests for ongoing treatments and manage all revised authorizations for out-of-office referrals.
• Physician Support: Proactively follow up on Primary Treating Physician (PTP) and Secondary Treating Physician (STP) requests and pending authorizations.
• Claims Processing: Process all medical determinations received via EDATA and ensure accurate updates are reflected in internal systems.
• Reporting & Records: Send Work Status (WS) reports and Medical Records (MRs) from the end-of-day lists to relevant stakeholders.
• Data Tracking: Maintain and update WC TRACKERS with precision to ensure all case movements are documented.
• Communication: Respond to incoming emails and answer phone calls, providing professional support to patients, providers, and insurance carriers.
• Administrative Tools: Utilize Microsoft Teams for internal collaboration and JotForm (or similar software) for data collection and processing.

Requirements

• Industry Experience: Must have proven experience in the medical field or healthcare industry.
• Insurance Knowledge: Prior experience with HMO, PPO, or general medical insurance is highly preferred.
• Communication Excellence: Strong verbal and written communication skills are essential for success in this role.
• Customer Service: Excellent customer service skills with a patient-first mentality.
• Technical Proficiency: Proficient in Microsoft Teams; experience with JotForm is a plus.
• Soft Skills: Strong organizational and time management abilities, with the discipline to work independently and remotely.

Qualifications

• High level of integrity and discretion when handling sensitive patient health information (PHI).
• Reliable internet connection and a dedicated, professional home office setup.
• Ability to manage high volumes of medical documentation with meticulous attention to detail.

Independent Contractor Perks

• Permanent work from home
• Immediate hiring
• Health Insurance Coverage for eligible locations 

Note

Please click the "Apply" button to complete your application on BruntWork's Career Site, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.