Utilization Review Specialist – Behavioral Health (Remote)
Manage behavioral health insurance authorizations for PHP and IOP treatment, coordinating reviews, appeals, and payer requirements to support medical necessity and continuity of care.
Job Title: Insurance & Patient Finance Coordinator
Location: South Africa
Job Type: Full-Time, Remote
Working Hours: US Hours (9am-5pm EST)
Salary: R35,100– R45,000
We are looking for a highly organised, detail-oriented and people-focused Insurance & Patient Finance Coordinator to support a US-based healthcare organisation operating skilled nursing facilities.
While the role includes a finance component, this is not a traditional accounting, bookkeeping or Accounts Receivable position.
The role sits at the intersection of healthcare insurance, patient administration, case coordination and family communication. You will help patients and their families understand insurance coverage, documentation requirements and changes, while ensuring that all administrative information is accurately captured and followed up.
A significant part of the role involves communicating directly with patients and family members, sometimes in difficult or emotionally sensitive situations. Strong communication skills, patience, empathy and the ability to explain complex information clearly are therefore essential.
Extensive training will be provided on US healthcare insurance, including Medicare and Medicaid. Previous US healthcare insurance experience is highly advantageous, but candidates who can learn complex processes quickly and apply them accurately will also be considered.
Requirements
The ideal candidate will have a strong combination of people skills, administrative ability, attention to detail and the ability to learn complex processes.
You should have:
A finance or accounting degree is not required.
This role will suit someone who enjoys both people and process.
You should be comfortable spending part of your day working through patient information, insurance changes, documentation and administrative tasks, and another part of your day speaking directly with patients and families.
You will receive extensive training and ongoing support, but you need to be comfortable absorbing detailed information, understanding the reasoning behind different scenarios and confidently applying what you have learned.
Patience, resilience, emotional maturity and strong follow-through are important. You should be able to handle a difficult conversation professionally, work through the issue and move on to the next case without losing focus.
This is a hands-on coordination role for someone who is organised, highly trainable, comfortable with complexity and genuinely good with people.
Let us walk you through the next steps.
Fill in our application form and upload your CV. This stores your profile in our Applicant Tracking System (ATS) and places you into our active job pipelines, making it easier for us to match you with current and future opportunities.
This is where your application comes to life. We review your CV and video interview to get a feel for your experience, communication style, and overall fit. If we like what we see, you're on to the next step!
Because a résumé can tell us what you've done, but it can't show us you. Your video is your moment to shine, and it helps us see:
Think of it as your personal trailer. One great video means we can pitch you for multiple roles and get you in front of the right employers, faster.
Heads up: Some clients watch your video directly, so make it one you'd be proud to have represent you. This is your highlight reel—make it count!
A Recruitment Specialist calls to chat about your experience, your availability, what you want to earn, and the role itself. Consider it a friendly vibe check.
We break down what it's like working as an independent contractor—hours, pay, contract terms, the whole deal. No surprises, no fine-print sneakiness. You'll get it all in writing.
Our Talent Delivery Team plays cupid, matching you to clients where you're most likely to shine. We can't promise everyone gets picked, but we're rooting for you.
Got shortlisted? We'll set up your interview, prep you like a pro, and have your back the whole way—with a Reworks teammate right there facilitating.
We chase feedback the second it lands and keep you in the loop.
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Manage behavioral health insurance authorizations for PHP and IOP treatment, coordinating reviews, appeals, and payer requirements to support medical necessity and continuity of care.
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