Remote Payor Change Specialist

Apria-Healthcare; Harrisburg (Dauphin County); Remote; USD 32,000 - 39,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

401(k) Plan

Flexible Spending Accounts

Short- and long-term disability

Job summary

Accendra Health, a national healthcare services provider, is hiring a Payor Change Coordinator for a fully remote role. You will support patients, payors, branches, referral sources, and internal teams across the organization to ensure uninterrupted service during payor changes.

The position combines insurance verification, problem solving, and customer service, with duties including obtaining authorizations, updating records, and coordinating testing as payor requirements evolve.

Qualifications

• High school diploma or equivalent required.
• At least one year of related work experience.
• At least one year of medical billing experience is preferred.
• Familiarity with payor contractual requirements.
• Strong verbal and written communication 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

Customer service

Problem solving

Education

High school diploma

Tools

Microsoft Word

Excel

PowerPoint

Access

MS Project

Visio

Job description

Accendra Health, a national healthcare services provider, is hiring a Payor Change Coordinator for a fully remote role. You will support patients, payors, branches, referral sources, and internal teams across the organization to ensure uninterrupted service during payor changes.

The position combines insurance verification, problem solving, and customer service, with duties including obtaining authorizations, updating records, and coordinating testing as payor requirements evolve.