Virtual Health Insurance Coordinator

At Vintti, we specialize in providing US businesses with staffing solutions that feel local. By connecting companies with Latin American professionals operating in compatible time zones, we ensure that work schedules align naturally with US business hours. This temporal harmony facilitates immediate response times, efficient project management, and a cohesive team dynamic regardless of physical location.

A Virtual Health Insurance Coordinator is a professional who manages and facilitates health insurance processes remotely. Their responsibilities include verifying patient insurance coverage, processing claims, and coordinating with healthcare providers and insurance companies to ensure accurate billing and timely payments. Typically, they assist clients with understanding their benefits, resolving any discrepancies, and ensuring compliance with relevant laws and policies. This role requires strong organizational skills, attention to detail, and proficiency in navigating online healthcare management systems, all while maintaining excellent customer service and confidentiality standards.

- High school diploma or equivalent; bachelor’s degree in a related field preferred.
- Minimum of 2 years of experience in health insurance or a related industry.
- Strong understanding of health insurance policies, coverage options, and benefits.
- Proficiency with insurance databases and client management software.
- Excellent verbal and written communication skills.
- Strong organizational and time-management abilities.
- Competency in virtual communication tools (e.g., Zoom, Microsoft Teams).
- Detail-oriented with a focus on accuracy and completeness.
- Ability to handle multiple tasks and prioritize effectively.
- Strong problem-solving skills and the ability to resolve complex issues.
- Experience with claims processing and verification.
- Familiarity with regulatory requirements and compliance standards in the health insurance industry.
- Proven ability to work independently and as part of a team.
- Strong customer service skills and a client-focused mindset.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
- Ability to adapt to changing policies and procedures.
- Commitment to ongoing professional development and training.
- Reliable high-speed internet connection and a quiet workspace for virtual consultations.

- Respond to client inquiries via email, phone, or virtual meetings.
- Process and manage new insurance applications and renewals.
- Verify policy details and coverage with insurance providers.
- Assist clients in understanding their health insurance options and benefits.
- Coordinate with healthcare providers to resolve billing and coverage issues.
- Update and maintain client records and insurance databases.
- Review and approve insurance claims for accuracy and completeness.
- Provide support during open enrollment periods by assisting clients with plan comparisons.
- Schedule and conduct virtual consultations with clients to assess their insurance needs.
- Communicate any changes in policy terms or carrier updates to clients.
- Generate and send out insurance quotes and renewal reminders.
- Assist clients with the resolution of claim disputes and appeals.
- Analyze insurance plans to ensure clients are getting optimal coverage and value.
- Track and follow up on pending client inquiries and applications.
- Provide administrative support for virtual seminars or informative sessions on health insurance topics.
- Coordinate with other team members to ensure seamless client service.
- Research and stay updated on new insurance products and industry trends.
- Compile reports on client interactions, claims, and policy renewals.
- Ensure compliance with regulatory requirements and company policies.
- Engage in training sessions to improve knowledge and skills related to health insurance coordination.

The ideal candidate for the role of Virtual Health Insurance Coordinator is a highly empathetic and client-focused professional with a minimum of two years of experience in the health insurance or related industry. They possess a strong understanding of health insurance policies, coverage options, and benefits, and demonstrate exceptional communication skills, both verbal and written. Proficiency in using insurance databases, client management software, and virtual communication tools is essential. This candidate exhibits meticulous attention to detail, ensuring accuracy and completeness in all tasks, and effectively prioritizes multiple responsibilities. They are adept at problem-solving, capable of resolving complex billing and coverage issues, and familiar with regulatory requirements and compliance standards. The ideal candidate is proactive, self-motivated, and thrives under pressure, maintaining a high standard of ethical integrity. They are tech-savvy, with a talent for quickly learning new software, and exhibit a strong customer service orientation, committed to helping clients understand their insurance options and benefits. With superior organizational and time-management skills, they coordinate seamlessly with team members to provide exceptional client service. Their analytical and critical-thinking abilities are complemented by a commitment to continuous learning and self-improvement, making them adaptable and open to feedback. A dependable and approachable demeanor, combined with resilience and the ability to handle difficult conversations, rounds out the profile of the perfect candidate for this vital role.

- Respond to client inquiries via email, phone, or virtual meetings.
- Process and manage new insurance applications and renewals.
- Verify policy details and coverage with insurance providers.
- Assist clients in understanding their health insurance options and benefits.
- Coordinate with healthcare providers to resolve billing and coverage issues.
- Update and maintain client records and insurance databases.
- Review and approve insurance claims for accuracy and completeness.
- Provide support during open enrollment periods by assisting clients with plan comparisons.
- Schedule and conduct virtual consultations with clients to assess their insurance needs.
- Communicate any changes in policy terms or carrier updates to clients.
- Generate and send out insurance quotes and renewal reminders.
- Assist clients with the resolution of claim disputes and appeals.
- Analyze insurance plans to ensure clients are getting optimal coverage and value.
- Track and follow up on pending client inquiries and applications.
- Provide administrative support for virtual seminars or informative sessions on health insurance topics.
- Coordinate with other team members to ensure seamless client service.
- Research and stay updated on new insurance products and industry trends.
- Compile reports on client interactions, claims, and policy renewals.
- Ensure compliance with regulatory requirements and company policies.
- Engage in training sessions to improve knowledge and skills related to health insurance coordination.

- Highly empathetic and client-focused
- Exceptional communication and interpersonal skills
- Strong attention to detail and accuracy
- Proactive and self-motivated
- Ability to navigate and understand complex information
- Clear and patient in explaining insurance details
- Strong ethical standards and integrity
- Ability to work well under pressure and manage stress
- Tech-savvy with a knack for learning new software
- Problem-solving mindset and resourcefulness
- Dependable and reliable in meeting deadlines
- Excellent team collaboration skills
- Adaptable and open to feedback
- Organized with superior time-management skills
- Strong analytical and critical-thinking abilities
- Commitment to continuous learning and self-improvement
- Friendly and approachable demeanor
- Resilient and capable of handling difficult conversations

- Competitive salary range of $40,000 to $60,000 annually
- Comprehensive health, dental, and vision insurance coverage
- Flexible work hours to support work-life balance
- Paid time off (PTO) including vacation, sick leave, and holidays
- 401(k) retirement plan with company match
- Opportunities for career advancement and professional development
- Access to virtual workshops and training sessions
- Employee wellness programs and resources
- Subsidized internet expenses for remote work
- Performance-based bonuses and incentives
- Collaborative and supportive team environment
- Employee assistance programs (EAP) for personal and professional support
- Tech and office equipment provided for home office setup
- Annual performance reviews with potential for salary increase
- Company-sponsored certifications and continuing education
- Health and wellness stipends or allowances
- Paid family and medical leave
- Access to company resources and industry insights
- Regular team-building activities and virtual social events