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

Healthcare experience required, preferably with exposure to USA healthcare systems Familiarity with medical coding standards (CPT, ICD-10) and HIPAA compliance. Strong analytical, problem-solving, and organizational skills. Proficient in MS Office Suite, especially Excel and Outlook. Fixed fibre line with a minimum speed of 25 Mbps (upload & download) and the ability to support a wired Ethernet connection is mandatory. A reliable power backup solution is required to manage load shedding and power outages.

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. Use MS Office (Outlook, Excel, PDF) to manage documentation and communications. Ensure compliance with relevant healthcare and data protection regulations (e.g. HIPAA).