Health Services Coordinator

Candidates must hold an MBBS degree and possess experience within the U.S. healthcare system, along with clear and professional English communication skills. EDGE is a company dedicated to connecting top global talent with the U.S. healthcare and insurance industries, fostering a borderless network focused on people and their potential. As a Health Services Coordinator, you will provide vital administrative and communication support in a remote healthcare setting. Your role will involve managing patient information, coordinating care workflows, organizing documentation, and acting as a liaison between patients, doctors, administrative teams, labs, pharmacies, and other healthcare partners. The ideal candidate is warm, empathetic, service-oriented, and able to maintain professionalism while effectively communicating with both patients and healthcare providers.

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 patient records, notes, and communications within the Electronic Health Record (EHR) system.
- Manage lab orders and results, including tracking, confirming receipt, uploading documentation, and notifying providers.
- Handle medication-related requests such as refills, coordinating between providers and pharmacies.
- Submit and track referral requests, document updates, and ensure follow-through.
- Conduct post-visit follow-ups and coordinate outstanding appointments and administrative tasks.
- Manage inboxes and task queues to ensure timely completion of activities.
- Facilitate communication among doctors, patients, specialists, labs, pharmacies, and administrative teams.
- Perform eligibility and benefits verification through EHR systems, payer portals, and clearinghouses.
- Verify insurance coverage details including copays, deductibles, coinsurance, and out-of-pocket maximums.
- Identify insurance requirements such as prior authorizations, network restrictions, visit limits, and payer-specific policies.
- Document eligibility, benefits, patient responsibility, and coverage requirements accurately.
- Initiate and manage prior authorization requests for procedures, imaging, durable medical equipment, and medications.
- Collect necessary clinical information, coding references, and supporting documentation for prior authorizations.
- Ensure all patient coordination activities are documented accurately, timely, and in compliance with HIPAA regulations.

Required Qualifications
- MBBS degree is mandatory.
- Proven experience working within the U.S. healthcare system and with doctors.
- Clear and professional English communication skills.
- Strong interpersonal and customer service skills with a warm, empathetic, and helpful demeanor.
- Ability to work five days per week, Monday through Sunday, with two days off weekly.
- Willingness to work in-office.
- Basic understanding of medical terminology and healthcare workflows.
- Strong attention to detail and excellent organizational skills.
- Ability to multitask and manage multiple patient-related requests simultaneously.
- Comfortable using EHR systems, payer portals, and healthcare communication tools.
- Strong knowledge of confidentiality 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. 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 to contribute meaningfully to healthcare.

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