Eligibility & Authorizations Coordinator (Healthcare)

Job Opening: Eligibility & Authorizations Coordinator (Healthcare)

Location: South Africa (Remote – US Hours)

Type: Full-Time, Work from Home

Hours: Monday to Friday: 9am- 5pm (US Hours)

Pay: Monthly Salary

We are looking for reliable and detail-oriented Eligibility & Authorizations Coordinators to support our U.S. healthcare clients. This role is essential in ensuring patients receive timely care by verifying insurance eligibility, managing authorizations, and maintaining accurate, compliant documentation. The ideal candidate is steady, persistent, and methodical — someone who knows that “slow but steady wins the race” when it comes to accuracy and compliance.

Key Responsibilities

• Perform initial and recurring (monthly) insurance eligibility checks using client provided systems and payer portals.
• Accurately capture and document insurance coverage information, including effective dates, benefits, and limitations.
• Submit and track authorization requests, following up with insurance companies and providers until resolution is reached.
• Communicate effectively with patients, providers, and internal teams to clarify or verify coverage information when needed.
• Ensure all documentation meets compliance, and regulatory standards.
• Escalate complex or unresolved cases to senior staff or client representatives in a timely manner.
• Participate in audits, identify process gaps, and contribute to workflow improvements.

Skills & Qualifications

• Exceptional attention to detail, particularly when working with dates, coverage information, and compliance requirements.
• Strong listening skills with the ability to ask clear, concise follow-up questions.
• Persistent and methodical — able to follow through on tasks until accurate completion.
• Effective written and verbal communication skills.
• Comfortable learning and navigating multiple online systems, portals, and digital tools.
• Previous experience in administration, operations, data entry, or customer service is preferred.
• Healthcare, insurance, or compliance background is a plus (training will be provided).

Must-Have

• Based in Durban or North Coast, KZN
• Comfortable with remote work, with availability for weekly in-person team collaboration
• Excellent spoken and written English communication skills
• Strong organizational skills and attention to detail
• Tech-savvy, with the ability to quickly learn new systems (CRM, communication platforms)
• Fluent or neutral English accent
• Reliable internet and backup power

What We Offer

• Full-time, stable remote opportunity
• Set weekday schedule aligned with U.S. business hours
• Supportive and collaborative team environment
• Comprehensive training on tools, platforms, and process