Payor Change Coordinator- Remote

Accendra Health, Inc.; Canonsburg (Washington County); Hybrid; USD 32,000 - 39,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

401(k) Plan

Flexible Spending Accounts

Life insurance

Disability coverage

Teammate Assistance Program

Paid parental leave

Domestic partner benefits

Well-being programs

Job summary

Accendra Health, Inc. seeks a Payor Change Coordinator to process patient insurance changes, verify coverage, and ensure correct billing and payment posting.

This role supports payor requirements, requires a high school diploma, and one year of related experience including medical billing. Office-based in Canonsburg, PA with growth opportunities.

Qualifications

• High school diploma required.
• One year of related work experience required.
• One year of medical billing experience required.

Responsibilities

• Processes payor changes and verifies insurance eligibility.
• Ensures correct product/payor is used for services and that contracts are followed.
• Verifies accuracy of allowable amounts per contract terms.
• Contacts payors to verify coverage and requirements.
• Obtains verbal/written authorization for medical treatment as needed.
• Documents account activity in billing systems and ensures timely posting.

Skills

Payor knowledge

Communication

Problem solving

MS Office basics

Education

High school diploma

Tools

Access, Excel, PowerPoint

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.

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.

Benefits

• 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.

Note: Accendra is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at our Company via email, the Internet, or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of our Company. No fee will be paid in the event the candidate is hired by our Company as a result of the referral or through other means.

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 more than 6,000 teammates across a nationwide network of over 250 service locations across our Apria and Byram Healthcare brands, we have the reach and expertise to make home-based care work better for everyone. If you’re interested in meaningful work with impact, explore our career opportunities ─ from remote-friendly to hybrid and in-person roles ─ and join us in our purpose of Bringing Care To Life™.