job description
Join CiviCom, a leading healthcare support services provider, as a Remote/Hybrid Authorization Specialist & Patient Care Coordinator for our esteemed U.S.-based physical therapy client. This role is perfect for detail-oriented professionals with a passion for patient advocacy and healthcare administration, offering the flexibility to work from home or in hybrid settings across Canggu, Ubud, Denpasar, Jimbaran, Nusa Dua, Kuta, or Badung.
As the bridge between patients, healthcare providers, and insurance companies, youâll play a critical role in ensuring seamless care delivery while optimizing operational efficiency. This position combines the precision of authorization management with the compassion of patient coordinationâideal for those who thrive in dynamic, people-centric environments. With full training provided and a supportive team culture, youâll have the opportunity to grow your career in the global healthcare industry without relocating.
CiviCom values work-life balance, offering competitive compensation, performance incentives, and a collaborative remote-first work environment. If youâre a proactive problem-solver with a knack for multitasking and a commitment to excellence, weâd love to hear from you!
Responsibility
- Process and verify insurance authorizations for U.S. physical therapy services, ensuring compliance with payer requirements and timely approvals.
- Coordinate patient care plans by scheduling appointments, confirming treatment protocols, and communicating updates to providers and patients.
- Serve as the primary point of contact for patients, addressing inquiries about coverage, benefits, and care procedures with empathy and clarity.
- Collaborate with U.S.-based clinical teams to resolve authorization denials, appeals, and documentation discrepancies.
- Maintain accurate electronic health records (EHR) and authorization tracking systems to ensure data integrity and audit readiness.
- Monitor authorization expiration dates and proactively secure renewals to prevent treatment interruptions.
- Prepare reports on authorization trends, denial rates, and patient satisfaction metrics for process improvement initiatives.
- Adhere to HIPAA and other healthcare compliance standards in all communications and documentation.
Qualifications
- Minimum 2 years of experience in healthcare administration, medical billing, or patient coordination, preferably in physical therapy or rehabilitation settings.
- Familiarity with U.S. insurance systems (e.g., Medicare, Medicaid, private payers) and authorization processes is a plus.
- Strong organizational skills with the ability to manage multiple priorities in a fast-paced environment.
- Excellent written and verbal communication skills in English; additional languages are advantageous.
- Proficiency in Microsoft Office (Excel, Word) and experience with EHR/EMR systems (e.g., Epic, Cerner).
- Detail-oriented mindset with a commitment to accuracy and compliance.
- Self-motivated and able to work independently with minimal supervision in a remote/hybrid setting.
- Bachelorâs degree in Healthcare Administration, Nursing, or related field is preferred but not required for candidates with relevant experience.