Payor Change Coordinator- Remote

Apria Healthcare; New York (NY); Remote; USD 32,000 - 39,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401(k) Plan

Paid time off

Parental leave

Job summary

Accendra Health is seeking a Payor Change Coordinator to support patients, payors, branches, referral sources, and internal teams remotely.

The role focuses on insurance changes, authorizations, and ensuring the correct payor and product alignment to keep patient care moving forward. It emphasizes problem solving, communication, and meticulous documentation while working from home.

Qualifications

• High school diploma or equivalent.
• At least one year of related work experience.
• At least one year of medical billing experience.
• Familiarity with payor contractual requirements.
• Strong attention to detail and ability to identify and resolve discrepancies.
• Strong verbal and written communication skills.
• Ability to work effectively with patients, payors, branches, and internal teams.
• Basic computer skills, including Microsoft Word, Excel, PowerPoint, Access, MS Project, and Visio.
• English reading, writing, and speaking skills.

Responsibilities

• Process patient insurance and payor changes accurately and efficiently.
• Verify insurance coverage, eligibility requirements, and payor information by phone and online.
• Obtain verbal or written authorization for medical treatment from appropriate sources.
• Ensure the correct product and payor are used for services, equipment, and therapy.
• Verify that the appropriate allowable is recorded in accordance with payor contracts.
• Research and resolve account issues, including gaps between current and former payor requirements and billing documentation.
• Review accounts to ensure open and future invoices are billed correctly.
• Identify and resolve discrepancies in insurance information and account documentation.
• Answer inbound calls from patients regarding updates to their insurance and provide clear information about next steps.
• Coordinate with patients, branches, and referral sources to obtain required testing based on new payor requirements.
• Notify patients and coordinate scheduling for required testing.
• Document account activity accurately in ACIS and other required systems.
• Help ensure payment is guaranteed prior to delivery and revenue is posted appropriately.
• Follow all regulatory requirements, company policies, procedures, and best practices.
• Support additional duties and projects as assigned.

Skills

Attention to detail

Verbal communication

Written communication

Problem solving

Team collaboration

Education

High school diploma or equivalent

Tools

Microsoft Word

Excel

PowerPoint

Access

MS Project

Visio

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™.

Payor Change Coordinator

This is a fully remote position.

You’ll work from home while supporting patients, payors, branches, referral sources, and internal teams across the organization.

About the Role

The Payor Change Coordinator plays an important role in helping ensure patients receive uninterrupted service when their insurance or payor information changes. You’re not simply processing insurance changes. You’ll help patients navigate changes in their coverage while making sure the right information, authorization, product, and payor are in place for their care. Working remotely, you’ll have the opportunity to solve problems, work across multiple teams, communicate directly with patients and payors, and make a meaningful impact behind the scenes to keep patient care moving forward.

Key Highlights

• Fully remote position – work from home
• Patient-focused role supporting patients through insurance changes
• Combination of insurance verification, problem solving, and customer service
• Regular interaction with patients, payors, branches, and referral sources
• Opportunity to identify and resolve billing and documentation issues
• Work that directly supports accurate reimbursement and continued patient service

Salary Range

• $35,000 annual salary
• Actual compensation may vary based on experience, skills, education, and location

What You’ll Do

• Process patient insurance and payor changes accurately and efficiently
• Verify insurance coverage, eligibility requirements, and payor information by phone and online
• Obtain verbal or written authorization for medical treatment from appropriate sources
• Ensure the correct product and payor are used for services, equipment, and therapy
• Verify that the appropriate allowable is recorded in accordance with payor contracts
• Research and resolve account issues, including gaps between current and former payor requirements and billing documentation
• Review accounts to ensure open and future invoices are billed correctly
• Identify and resolve discrepancies in insurance information and account documentation
• Answer inbound calls from patients regarding updates to their insurance and provide clear information about next steps
• Coordinate with patients, branches, and referral sources to obtain required testing based on new payor requirements
• Notify patients and coordinate scheduling for required testing
• Document account activity accurately in ACIS and other required systems
• Help ensure payment is guaranteed prior to delivery and revenue is posted appropriately
• Follow all regulatory requirements, company policies, procedures, and best practices
• Support additional duties and projects as assigned

Required

• High school diploma or equivalent
• At least one year of related work experience
• At least one year of medical billing experience
• Familiarity with payor contractual requirements
• Strong attention to detail and ability to identify and resolve discrepancies
• Strong verbal and written communication skills
• Ability to work effectively with patients, payors, branches, and internal teams
• Basic computer skills, including Microsoft Word, Excel, PowerPoint, Access, MS Project, and Visio
• English reading, writing, and speaking skills

Top Attributes for Success

• Detail-oriented and organized
• Strong problem-solving skills
• Clear and professional communication
• Comfortable working with patients and insurance payors
• Able to research information and resolve issues independently
• Strong follow-through and personal accountability
• Ability to manage multiple priorities in a fast-paced environment
• Business acumen and understanding of how payor requirements impact the business
• Professional and credible when communicating with patients and internal teams

Why You’ll Love Working Here

• Work from home in a fully remote position
• Your work directly helps patients receive the services and equipment they need
• You’ll work across multiple areas of the organization rather than being limited to one function
• You’ll have opportunities to develop your knowledge of healthcare, insurance, billing, and payor requirements
• Your problem-solving skills can make a direct difference in both the patient experience and business results
• You’ll be part of a team where accuracy, communication, and follow-through matter

Work Environment

This is a fully remote work-from-home position. Employees are expected to have an appropriate workspace and the ability to perform the essential functions of the position remotely.

Physical Requirements

This is primarily a stationary position that requires frequent sitting or standing, repetitive wrist motions, grasping, speaking, listening, close vision, color vision, and the ability

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.