Virtual Healthcare Case Coordinator (Skilled Nursing) - EST hours (Remote)

Position Overview

• Location Type: Remote
• Job Type: Full-time
• Salary: Not Specified

ISTA Personnel Solutions South Africa, a global Business Process Outsourcing (BPO) provider, is seeking a Virtual Healthcare Case Coordinator for a US-based client in the healthcare revenue cycle management sector. This role involves managing medical billing, initial authorizations, and case management for Skilled Nursing Facilities (SNFs). The position is fully remote and requires collaboration with the US client during Eastern Standard Time (EST) hours.

Important Notes:

• Working Hours: Monday - Friday, 9 am - 6 pm EST (3 pm - 12 am South African time). Hours are subject to change due to daylight savings.
• Work Environment: Remote role, exclusively for South African Citizens.
• Internet Requirements: A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and Ethernet connection capability is mandatory.
• Power Backup: A reliable power backup solution is required to manage load shedding and power outages.

Requirements

• Healthcare experience, preferably with exposure to USA healthcare systems, specifically in medical billing, claims, authorizations, and/or case management in SNFs or similar environments.
• Familiarity with medical coding standards (CPT, ICD-10) and HIPAA compliance.
• Strong analytical, problem-solving, and organizational skills.
• High attention to detail and accuracy in documentation and data handling.
• Proficient in MS Office Suite, especially Excel and Outlook.
• Ability to prioritize work, manage high email volumes, and follow established processes.
• Strong written and verbal communication skills.

Responsibilities

• Manage patient accounts, including claims processing and authorization tracking.
• Oversee the accurate and timely submission of medical claims, including appropriate coding.
• Review clinical documentation to support authorization and care coordination.
• Investigate and resolve claim denials in collaboration with insurance providers.
• Work alongside clinical, billing, and administrative teams to ensure continuity in patient care and revenue cycle processes.
• Utilize MS Office (Outlook, Excel, PDF) for documentation and communication management.
• Ensure compliance with relevant healthcare and data protection regulations (e.g., HIPAA).

Application Instructions

• If you are not contacted within 14 working days, please consider your application unsuccessful.

Company Information

• Company: ISTA Personnel Solutions South Africa
• Industry: Business Process Outsourcing (BPO)
• Client Focus: Healthcare Revenue Cycle Management (US-based)
• Department: SA - Operations
• Published: 2025-06-09