A1M Solutions

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

South Africa

Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare Revenue Cycle ManagementIndustries

Requirements

Candidates must possess healthcare experience, preferably with exposure to USA healthcare systems, particularly in medical billing, claims, authorizations, and/or case management within Skilled Nursing Facilities or similar environments. Familiarity with medical coding standards (CPT, ICD-10) and HIPAA compliance is required, along with strong analytical, problem-solving, and organizational skills, high attention to detail and accuracy in documentation and data handling, proficiency in MS Office Suite, especially Excel and Outlook, the ability to prioritize work, manage high email volumes, and follow established processes, and strong written and verbal communication skills.

Responsibilities

The Virtual Healthcare Case Coordinator will manage patient accounts, including claims processing and authorization tracking, oversee the accurate and timely submission of medical claims with 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, and ensure compliance with relevant healthcare and data protection regulations (e.g., HIPAA).

Skills

Medical Billing
Claims Processing
Authorization Tracking
Coding
Clinical Documentation Review
Insurance Collaboration
MS Office (Outlook, Excel, PDF)
Data Compliance

A1M Solutions

Design and data support for government healthcare

About A1M Solutions

A1M Solutions specializes in providing design, data, and policy-informed support for government healthcare programs, with a focus on serving disadvantaged populations. The company leverages expertise in government healthcare programs, data analysis, and policy/legislation to design effective business strategies and enhance digital service delivery, utilizing agile research and insights to untangle complex problems and generate thoughtful solutions.

Chico, CA, USAHeadquarters
2018Year Founded
VENTURE_UNKNOWNCompany Stage
Consulting, Social ImpactIndustries
11-50Employees

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