Healthcare Admin (Onsite)

VLBPO Job Description

Job Title: Healthcare Admin
Reports To: Team Manager / Operations Manager
Location: Kingston & St. Andrew (Onsite) – Jamaica
Employment Type: Full-Time 

Job Summary 

The Healthcare Admin is responsible for managing client insurance application cases from initiation through completion. This role supports families throughout the full application lifecycle by ensuring accuracy, compliance, and timely submission of all required documentation. The Healthcare Admin serves as the primary point of contact for families, providing guidance, clear communication, and professional support to drive successful insurance approval outcomes. This role requires strong organization, attention to detail, and excellent phone-based communication skills in a fast-paced environment. 

Work Schedule 

• Schedule: Monday to Friday, standard business hours – 8:00 AM – 5:00 PM
• Time Zone: Must be able to work aligned with U.S. time zones
• Daylight Savings: Work hours may adjust during U.S. Daylight Saving Time 

Essential Job Functions
(Listed in order of importance with approximate % of time. Total equals 100%.) 

1. End-to-End Insurance Case Management – Manage the full insurance application
process, ensuring all required information and documentation are accurate,
complete, and submitted within established timelines - 30%


2. Client Communication & Support – Serve as the primary point of contact for
families via phone and email, providing guidance, answering questions, and
addressing concerns throughout the application process - 25% 

3. Documentation Review & Submission – Collect, review, organize, and submit
required insurance documentation. Perform follow-ups with families, insurance
entities, and third parties as needed - 20% 

4. Issue Resolution & Case Troubleshooting – Identify, investigate, and resolve
issues or delays that arise during the insurance application process to prevent
disruptions or denials - 15%

 
5. Case Tracking & Administrative Management – Maintain accurate, organized
case records within internal systems, trackers, and databases while ensuring
confidentiality and compliance - 10%

Required Qualifications (Knowledge, Skills & Experience) 

• Minimum 5 CXCs, including Mathematics and English.
• 1 – 3 years of experience in Insurance, Case Management, Healthcare Administration, Customer service, or a related role.

• Prior experience in a Team Lead or Supervisory role is a plus.
• Strong multitasking ability in a fast-paced environment while managing multiple cases
simultaneously.
• Excellent verbal and written communication skills, particularly in phone-based client
interactions, with a vibrant personality.
• High attention to detail with strong documentation and record-keeping abilities.
• Ability to work independently while collaborating effectively within a team.
• Strong problem-solving and critical-thinking skills.
• Strong background using CRM technology, preferably Salesforce, Case management tools, and productivity platforms.

Preferred Qualifications 

• Familiarity with insurance eligibility requirements and application workflows.
• Experience working in healthcare, insurance, or social services environments.
• Proven experience communicating with families or clients in a professional, service
oriented capacity. 

Work Conditions / Physical Demands / Travel Requirements 

This position operates in a physical (Kingston), phone-intensive environment. The role involves extended periods of computer and headset use and requires strict adherence to confidentiality, data protection, and company policies. Candidates should carefully consider their commute distance, travel time, transportation costs, and the availability of transportation during scheduled work hours before applying. Regular attendance and punctuality are essential requirements of this position. This role is suitable for candidates in the Kingston, St. Andrew and surrounding areas. 

Important Notes
• Responsibilities may evolve based on client needs, regulatory requirements, or business growth.
• Accuracy, professionalism, confidentiality, and timeliness are critical due to the sensitive nature of insurance-related information.
• Strong follow-through, empathy, and proactive communication are essential for success in this role. 

Disclaimer 

This job description outlines the general nature and level of work performed and is not an
exhaustive list of duties or responsibilities. Duties may be adjusted to meet business needs. 

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