Virtual Healthcare Case Coordinator

Summary

Join STA Personnel Solutions South Africa as a Virtual Healthcare Case Coordinator! This remote role, working US hours (9 am to 6 pm EST), involves managing medical billing, authorizations, and case management for Skilled Nursing Facilities (SNFs). You will collaborate with a US-based healthcare client, ensuring timely claim submissions and resolving denials. This position requires strong analytical and communication skills, proficiency in MS Office Suite, and familiarity with medical coding (CPT, ICD-10) and HIPAA compliance. A fixed fibre line internet connection (minimum 25 Mbps) and reliable power backup are mandatory. Only South African citizens will be considered.

Requirements

• Healthcare experience required , preferably with exposure to USA healthcare systems , especially 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
• A 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

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