Health Services Coordinator

Candidates must hold an MBBS degree and possess experience in the U.S. healthcare system, along with clear and professional English communication skills. EDGE is a company dedicated to bridging top global talent with the U.S. healthcare and insurance industries. Our mission is to build a borderless network of exceptional professionals, placing people at the center of everything we do. As a Health Services Coordinator, you will provide vital administrative and communication support within a remote healthcare environment. Your role will involve managing patient information, coordinating care workflows, organizing documentation, and acting as a key liaison among patients, doctors, administrative teams, labs, pharmacies, and other healthcare partners. The ideal candidate is warm, empathetic, service-oriented, and able to maintain professionalism and accuracy while working closely with healthcare providers and patients.

Key Responsibilities:
- Coordinate telehealth appointments, ensuring patient readiness, proper documentation, and identification.
- Monitor patient messages, collect relevant information, and route requests according to protocols.
- Maintain accurate and organized patient records, notes, communications, and documentation within the Electronic Health Record (EHR) system.
- Manage lab orders and results by tracking, confirming receipt, uploading documents, and notifying providers.
- Handle medication-related requests, including refills and coordination with providers and pharmacies.
- Submit and track referrals, document updates, and ensure follow-through.
- Conduct post-visit follow-ups, coordinating outstanding appointments and administrative tasks.
- Manage inboxes, task queues, and follow-up activities to ensure timely completion.
- Facilitate communication between doctors, patients, specialists, labs, pharmacies, and administrative teams.
- Perform eligibility and benefits verification through EHR systems, payer portals, clearinghouses, and other channels.
- Verify coverage details such as copays, deductibles, coinsurance, and out-of-pocket maximums.
- Identify insurance requirements including prior authorizations, network restrictions, visit limits, exclusions, and payer-specific policies.
- Document eligibility, benefits, patient responsibility, and coverage requirements accurately.
- Initiate and manage prior authorization requests for procedures, services, imaging, durable medical equipment (DME), and medications.
- Collect required clinical information, coding references, and supporting documentation for prior authorizations.
- Maintain HIPAA-compliant documentation throughout all patient coordination activities.

Required Qualifications:
- MBBS degree is mandatory.
- Proven experience working within the U.S. healthcare system and with doctors.
- Clear, professional English communication skills.
- Strong interpersonal and customer service abilities.
- Warm, empathetic, and service-oriented approach when interacting with patients and healthcare providers.
- Ability to work full-time, five days a week, Monday through Sunday, with two days off per week.
- Comfortable working in an office environment.
- Basic understanding of medical terminology and healthcare workflows.
- Strong attention to detail and organizational skills.
- Ability to multitask and manage multiple patient-related requests simultaneously.
- Proficiency with EHR systems, payer portals, and healthcare communication tools.
- Knowledge of confidentiality standards and HIPAA-compliant handling of patient information.
- Flexibility to adapt to rotating schedules and holiday coverage requirements.

Hiring Process:
The recruitment process includes an initial application review, followed by an interview with an EDGE representative to assess fit. Successful candidates proceed through onboarding and training before participating in client interviews tailored to specific needs. Once selected, candidates join the EDGE Global Talent Community, ready to contribute to the healthcare industry.

EDGE is committed to creating a diverse and inclusive workplace and is proud to be an equal opportunity employer. All qualified applicants will receive consideration without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, disability, age, veteran status, or any other protected status.

At EDGE, we believe geographic borders should not limit access to full-time employment and fair wages. Our global hiring network connects exceptional talent worldwide with North American businesses seeking skilled professionals, enabling individuals to unlock their potential and earn what they deserve.