What you will do
- Verify eligibility and benefits before scheduled visits, portal first and phone second: copay, deductible remaining, coinsurance, referral and prior authorization requirements; document the result in the practice EHR.
- Request and follow up prior authorizations for procedures, imaging and medications; track the authorization number, the approved units and the valid dates.
- Call payers on claim status and simple denials (missing information, eligibility, coordination of benefits) and escalate anything complex to the A/R specialist with a complete note.
- Call patients about open balances: explain the statement line by line, take card payments through the practice's processor, and set up payment plans within the practice policy.
- Answer inbound billing calls and emails from patients within one business day and return every voicemail.
- Update demographics and insurance on the account when a patient reports a change, and alert the biller when a claim needs to be re-sent.
- Keep a clean call log on every account: date, who you spoke to, reference number, outcome and next action.
- Follow the practice's scripts for collections and never discuss clinical information beyond what the task requires.
What we need
- 2+ years on the phone in a medical office, billing company, health plan or healthcare call center.
- Knowledge of insurance terms (deductible, coinsurance, out-of-pocket maximum, in-network, referral, prior authorization) and the ability to explain them simply.
- Experience with at least one payer portal (Availity, UnitedHealthcare Provider Portal, a state Medicaid portal) and one practice management system.
- Calm and courteous with upset patients; exact with numbers.
- A clear phone voice and a headset you are comfortable wearing all day.
- Bachelor's degree (any field).
- Fluent English, written and spoken.
- Reliable internet, a quiet home office and the ability to work United States business hours (Pacific Time).
- Pass a background check and sign a confidentiality agreement; HIPAA training is provided and refreshed yearly.
Nice to have
Not required. Mention them if you have them.
- Spoken Spanish for patient calls.
- Experience with, eClinicalWorks, athenahealth or Tebra.
- Experience with prior authorization portals (CoverMyMeds, eviCore, Carelon).
- A medical terminology course or CPB certification.
What we offer
- Salary on the United States pay scale, deposited twice a week, negotiable with experience.
- Full time, remote, United States business hours (Pacific Time, Monday to Friday).
- Paid time off and paid United States holidays.
- Training on the Revelrex EHR and on our billing playbooks during your first two weeks.
- A growth path into medical billing or A/R follow-up after your first year.
How we hire
- 1Apply online
Fill in the short form and attach your CV. You get a confirmation email right away, and a reply from a person within ten business days.
- 2A 20-minute call
A video call with the team lead about your experience: the systems you have used, the payers you know, and how you work a day.
- 3A practical exercise
A short, realistic task on our training EHR with synthetic patients: for example, work five denials or verify three eligibilities. About an hour, paid attention to how you think, not speed.
- 4An offer
If it is a fit on both sides, you get a written offer, a start date and a two-week onboarding plan. The whole process takes two to three weeks.
Every offer is subject to a background check and a signed confidentiality agreement. Revelrex considers applicants without regard to race, color, religion, sex, national origin, age, disability or any other protected status.
About Revelrex
Revelrex is a revenue cycle management company in Jefferson City, Missouri, serving independent practices across the United States: medical billing, denial management, credentialing, PCMH recognition and the Revelrex EHR. HIPAA compliant and SOC 2 compliant. More about us