Patient and Payer Caller

Remoto (horario de Estados Unidos)

Horario laboral de Estados Unidos (hora del Pacífico)

2+ years de experiencia

10 puestos

Publicado el October 1, 2026

You are the voice of the practice for patients and payers. Half of your day is outbound calls to payers to verify eligibility, benefits and authorizations; the other half is patients: balances, payment plans and statements they do not understand. Two years of healthcare phone experience is the minimum. Two positions are open.

Qué hará

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.

Qué necesitamos

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.

Deseable

No es obligatorio. Menciónelo si lo tiene.

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.

Qué ofrecemos

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.

Cómo contratamos

1
Postule en línea
Complete el formulario breve y adjunte su CV. Recibe un correo de confirmación de inmediato y una respuesta de una persona en un plazo de diez días hábiles.
2
Una llamada de 20 minutos
Una videollamada con el líder del equipo sobre su experiencia: los sistemas que ha usado, los pagadores que conoce y cómo organiza su día.
3
Un ejercicio práctico
Una tarea breve y realista en nuestro EHR de capacitación con pacientes sintéticos: por ejemplo, trabajar cinco denegaciones o verificar tres elegibilidades. Alrededor de una hora; nos fijamos en cómo piensa, no en la velocidad.
4
Una oferta
Si encaja para ambas partes, recibe una oferta por escrito, una fecha de inicio y un plan de incorporación de dos semanas. Todo el proceso toma de dos a tres semanas.

Toda oferta está sujeta a una verificación de antecedentes y a la firma de un acuerdo de confidencialidad. Revelrex considera a las personas candidatas sin distinción de raza, color, religión, sexo, origen nacional, edad, discapacidad ni ninguna otra condición protegida.

Acerca de Revelrex

Revelrex es una empresa de gestión del ciclo de ingresos en Jefferson City, Misuri, que atiende consultorios independientes en todo Estados Unidos: facturación médica, gestión de denegaciones, acreditación, reconocimiento PCMH y el Revelrex EHR. Cumple con HIPAA y con SOC 2. Más sobre nosotros