Front Office and Patient Coordinator

RCM Staff LLC; United States; On-site; USD 38,000 - 65,000; Full time

Job summary

RCM Staff BPO is seeking a full-time Front Office and Patient Coordinator to support a rheumatology practice based in Texas. You will be the first contact for new patients, verify benefits, confirm acceptance of insurance, secure referrals and records, and book visits in the EHR.

Collaboration with the in-office front desk occurs via Microsoft Teams to handle calls and overflow tasks. This role requires a confident phone presence with U.S.

Qualifications

• At least 2 years of U.S. healthcare insurance experience.
• Experience with eligibility verification and patient scheduling.
• Experience handling inbound calls with U.S. patients.
• Understanding of referral requirements for managed care plans.
• Familiarity with commercial insurance and government health plans.
• Experience using payer portals and insurance websites.
• Strong written and spoken English; professional phone communication.
• Excellent attention to detail and follow-up skills.
• Ability to work independently and manage multiple patient accounts.

Responsibilities

• Verify eligibility and benefits for new and scheduled patients, including copays and deductibles.
• Confirm that each patient’s insurance plan is accepted before scheduling.
• Determine referral requirements and obtain referrals for plans that require them.
• Request and collect chart notes, lab results, and imaging from referring providers.
• Schedule new patients into designated new patient slots.
• Answer overflow calls and accept transferred calls from the front desk.
• Stay connected with the front desk via Teams to relay messages and flag urgent items.
• Document verification results, referral status, and call notes in the EHR.
• Follow up on missing referrals or records so appointments are not delayed.
• Protect patient information and follow HIPAA requirements.

Skills

U.S. healthcare insurance

Eligibility verification

Patient scheduling

Phone communication

HIPAA compliance

Remote work

Microsoft Teams

Tools

AthenaOne

Payer portals

EHR systems

Microsoft Teams

Job description

This is a remote position.

Job Summary

RCM Staff BPO is hiring a full-time Front Office and Patient Coordinator to support a rheumatology practice based in Texas. The coordinator is the first point of contact for new patients. They verify benefits, confirm the practice accepts the patient's insurance, secure referrals and records, and book the visit in the practice's EHR. They also work alongside the in-office front desk through Microsoft Teams, taking transferred calls and helping with overflow calls during the day. This role requires a confident phone presence with U.S. patients and experience with front office work for a U.S. practice, such as strong attention to detail, consistent follow-up, and experience working with U.S. health insurance plans.

Key Responsibilities

• Verify eligibility and benefits for new and scheduled patients, including specialist copays, deductibles, and coinsurance
• Confirm that each patient's insurance plan is accepted by the practice before scheduling
• Determine referral requirements and obtain or confirm referrals for plans that require one, such as HMO, EPO, and Medicaid managed care plans
• Request and collect chart notes, lab results, and imaging from referring providers before the first visit
• Schedule new patients into the practice's designated new patient slots
• Answer overflow calls and accept transferred calls from the front desk in a professional, patient-friendly manner
• Stay connected with the front desk through Microsoft Teams to relay messages, hand off calls, and flag urgent items
• Document verification results, referral status, and call notes accurately in the EHR
• Follow up on missing referrals or records so appointments are not delayed or rescheduled
• Protect patient information and follow HIPAA requirements

Qualifications

• At least 2 years of experience with U.S. healthcare insurance
• Experience with eligibility and benefits verification, patient scheduling, or front office work for a U.S. practice
• Experience handling inbound calls with U.S. patients
• Understanding of referral requirements for HMO and other managed care plans
• Familiarity with commercial insurance and government health plans
• Experience using payer portals and insurance websites
• Strong written and spoken English, with clear and professional phone communication
• Excellent attention to detail and follow-up skills
• Ability to work independently and manage multiple patient accounts
• Reliable internet connection and a suitable remote workspace

Preferred Qualifications

• Experience supporting rheumatology or other specialty practices
• Experience using athenaOne (athenahealth)
• Familiarity with Texas insurance plans, including Medicare Advantage and Texas Medicaid managed care
• Experience collecting records and referrals from referring provider offices
• Experience working with softphones and Microsoft Teams

Schedule

• Full-time position
• Must be available from 8:00 AM to 4:00 PM Central Time
• Final schedule will be determined based on practice needs

Work Arrangement

• Remote
• Philippines-based applicants preferred