Remote Payor Change Specialist

Accendra Health; Salt Lake City (UT); Remoto; USD 32.000 - 39.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical coverage

Dental coverage

Vision coverage

Paid time off

401(k) Plan

Flexible Spending Accounts

Descrizione del lavoro

Accendra Health is seeking a Payor Change Coordinator to support patients, payors, branches, and internal teams from a fully remote US role. You will verify insurance, obtain authorizations, and ensure correct payor and product usage to maintain uninterrupted care.

Join a team focused on accurate reimbursement, regulatory compliance, and seamless communication with patients. You will handle inquiries, resolve account issues, and collaborate across departments to improve payment outcomes.

Competenze

• 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 verbal and written communication skills.
• Ability to work with patients, payors, branches, and internal teams.

Mansioni

• 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.

Conoscenze

Attention to detail

Verbal and written communication

Problem solving

Microsoft Word

Excel

PowerPoint

Access

Visio

MS Project

Strumenti

MS Project

Descrizione del lavoro

Accendra Health is seeking a Payor Change Coordinator to support patients, payors, branches, and internal teams from a fully remote US role. You will verify insurance, obtain authorizations, and ensure correct payor and product usage to maintain uninterrupted care.

Join a team focused on accurate reimbursement, regulatory compliance, and seamless communication with patients. You will handle inquiries, resolve account issues, and collaborate across departments to improve payment outcomes.