Payor Change Coordinator- Remote

Byram Healthcare; Canonsburg (Washington County); On-site; USD 32,000 - 39,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401(k) Plan

Paid time off

Job summary

Accendra Health is seeking a Payor Change Coordinator to process patient changes in insurance, coordinate with payors and patients, and ensure accurate revenue posting. The role requires a high school diploma and at least one year of related experience, with medical billing experience preferred.

The position involves documentation in ACIS, interaction with various departments, and adherence to regulatory guidelines. Occasional travel may be required.

Qualifications

• High school diploma required.
• At least 1 year related work experience required.
• Prior medical billing experience preferred.

Responsibilities

• Ensure payor changes are completed and revenue is posted accurately.
• Verify correct product and payor usage for services and contracts.
• Contact payors to verify insurance coverage and eligibility.

Skills

Payor contractual requirements

Business Acumen

Problem Solving/Analysis

Communication Proficiency

Personal Effectiveness/Credibility

Education

High school diploma

One year related work experience

One year medical billing experience

Tools

Access

Excel

PowerPoint

MS Project

Visio

Word

Job description

At Accendra Health, we understand that healthcare is complex, and we’re here to make it easier. We help deliver care beyond traditional settings, making essential products and services more accessible through every stage of life. As part of the care team, our teammates play a critical role in delivering personalized, long-term care for the patients we serve.

With deep expertise promoting health outside the hospital and a presence in communities nationwide through our Apria and Byram Healthcare brands, Accendra Health does more than just deliver the essentials.

If you’re interested in meaningful work with impact, explore our career opportunities and join us in our purpose of Bringing Care To Life™.

The anticipated salary range for this position is $35,000 annual. The actual compensation offered may vary based on job related factors such as experience, skills, education and location.

Payor Change Coordinator

Job Summary

The Payer Change Coodinator processes patient changes in insurance.

Essential Duties And Responsibilities

• Ensures that payor changes are completed, payment is guaranteed prior to delivery and revenue is posted appropriately.


• Verifies that the correct product and payor are used for the service, equipment, and therapy. Ensures that the correct allowable is recorded in accordance with the contract.


• Contacts payors (online or by phone) to verify insurance coverage and eligibility requirements.


• Obtains verbal / written authorization for medical treatment from appropriate sources.


• Verifies insurance information for accuracy and completeness and resolves discrepancies as necessary.


• Research and resolve accounts and identify gaps between current and former payor requirements and existing billing documentation. Ensure account bills correctly for open and future invoices


• Answers inbound calls from patients with updates to their insurance


• Coordinates and contacts patients, branches and referrals to obtain required testing as required by the new payor.


• Notifies and schedules new testing for the customer.


• Documents account activity in ACIS and other systems, as required


• Complies with all regulatory compliance areas, policies and procedures and \"best practices\".


• Performs other duties as required.

Supervisory Responsibilities

N/A

Minimum Required Qualifications

Education and/or Experience

• High school diploma is required.


• One year of related work experience is required.


• One year of medical billing experience is required.

Certificates, Licenses, Registrations or Professional Designations

N/A

Skills, Knowledge And Abilities

• Must be familiar with payor contractual requirements.


• Business Acumen


• Problem Solving/Analysis


• Communication Proficiency


• Personal Effectiveness/Credibility

Computer Skills

• Basic skills in Access, Excel, PowerPoint, MS Project, Visio, Word

Language Skills

• English (reading, writing, verbal)

PHYSICAL DEMANDS

This is a stationary position that requires frequent sitting or standing, repetitive wrist motions, grasping, speaking, listening, close vision, color vision, and the ability to adjust focus. It also may require occasional lifting, carrying, walking, climbing, kneeling, bending/stooping, twisting, pulling/pushing, walking, bending, stooping, and reaching above the shoulder. Employees in this position must be physically able to efficiently perform the essential functions of the position. Reasonable accommodations will be provided to assist or enable qualified individuals with disabilities to perform the essential functions of the position, upon request.

WORK ENVIRONMENT

Work is performed in an office setting with exposure to moderate noise.

TRAVEL

Occasional travel as required.

Other Information

The essential duties and responsibilities, physical requirements, and work environment described above are representative of those typically required for this position but may vary depending on staffing and business needs at specific locations. The inclusion or omission of a specific duty or physical requirement is, therefore, not determinative of whether that function is essential to a specific individual’s position.

#AccendraHealth

Teammate Benefits

As an Accendra Health employee, you have choices to fit your life. Our comprehensive benefits program is designed to meet you where you are - through all of life’s stages. We’ve got you and your family covered with benefits that support your health, finances, and overall wellness.

Our Benefits Program Includes

• Medical, dental, and vision care coverage


• Paid time off plan


• 401(k) Plan


• Flexible Spending Accounts


• Basic life insurance


• Short-and long-term disability coverage


• Accident insurance


• Teammate Assistance Program


• Paid parental leave


• Domestic partner benefits


• Mental, physical, and financial well-being programs

Accendra is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state or local law.