# Healthcare Appeals & Case Coordinator - EST Hours (Remote)

> ISTA Personnel Solutions · South Africa (Remote) · Full-time · Posted 2026-04-28

**Workplace:** remote

**Department:** SA - Operations

## Description

ISTA Personnel Solutions South Africa, a dynamic and fast-growing BPO company, is seeking a highly organized, resilient, and detail-driven **Healthcare Appeals & Case Coordinator** to support one of our established U.S.-based healthcare clients.

This position is suited to a candidate with strong prior experience in **medical case coordination, insurance communication, appeals handling, provider follow-up, and high-volume healthcare administration.**

This is a demanding, deadline-driven role requiring someone who can confidently manage a heavy caseload, navigate U.S. insurance processes, handle constant communication, and multitask across calls, documentation, emails, and follow-ups simultaneously.

_This is a high-volume healthcare operations role requiring a candidate who is comfortable managing multiple moving parts simultaneously, including patient cases, insurance calls, provider follow-up, documentation, and large email volumes. Candidates with only front-desk, scheduling, or low-volume medical admin experience will not be suitable._

**PLEASE NOTE:**

-   **Working Hours:** This role requires you to work USA hours Mon - Fri from 9 am to 6 pm EST (3:00pm to 00:00am South African time); however, these hours are subject to change depending on daylight savings.
-   **Internet Requirements:** A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and the ability to support a wired Ethernet connection is mandatory. Applicants without a fixed fibre line cannot be considered.
-   **Power Backup:** A reliable power backup solution is required to manage load shedding and power outages. Applicants without a power backup cannot be considered.
-   **Work Environment:** This is a fully remote working role.
-   **Public Holidays:** You will be required to work on all South African public holidays (compensated as per BCEA).

**Key Responsibilities:**

-   Manage approximately 15+ active patient cases per day with speed, urgency, and accuracy
-   Coordinate all patient case documentation, status updates, and follow-up actions
-   Draft, submit, and monitor medical appeals and insurance-related supporting documentation
-   Process NOMNCs and similar patient insurance notices
-   Conduct regular inbound and outbound communication with insurance providers
-   Remain productive while managing long payer hold times and simultaneous administrative tasks
-   Perform provider follow-ups regarding authorizations, documentation, and care updates
-   Manage a high-volume inbox of approximately 100–150 emails daily
-   Maintain accurate patient notes, file updates, and case progression records in real time
-   Escalate urgent denials, delays, and unresolved payer issues appropriately
-   Ensure strict turnaround times are met in a deadline-sensitive environment

**Requirements:**

-   Minimum 3 years’ experience in healthcare case coordination, medical insurance communication, managed care, appeals, authorizations, or similar healthcare support roles
-   Proven experience handling high patient/case volumes in a fast-paced environment
-   Strong multitasking ability across calls, emails, systems, and documentation simultaneously
-   Excellent written and verbal English communication
-   Highly computer literate with the ability to quickly learn client systems and processes
-   Strong attention to detail and urgency in follow-up
-   Able to work independently and remain calm under pressure

**Advantageous:**

-   Prior clinical or patient-care exposure
-   Previous experience supporting U.S. or international healthcare teams

_**If you are not contacted within 14 working days, please consider your application unsuccessful.**_

## Apply

[Apply at ISTA Personnel Solutions](https://apply.workable.com/ista-2/j/B37A52D6DA/apply)

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