Payor Change Coordinator- Remote

Payer Change Coordinator Job Summary

The Payer Change Coordinator 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.
• Researches and resolves accounts and identifies gaps between current and former payor requirements and existing billing documentation.
• Ensures account bills correctly for open and future invoices.
• 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

• 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.