Remote Customer service Jobs • HIPAA

Manage 80-100 inbound/outbound calls daily, assist patients with appointment scheduling, and ensure accurate communication between patients, physicians, and pharmacies. Contributes to a high-performance team in a fast-paced environment. This role is the perfect doorway into healthcare as we build specific career paths for each candidate.

The Patient Coordinator is responsible for full life-cycle coordination of care and serves as a liaison between the patient and healthcare system. This position helps manage patient needs and coordinates services across multiple care teams and facilities. This position answers all patient questions and collaborates with members of an interdisciplinary team to coordinate care and facilitate resource and discharge planning to reach optimal outcomes for the patient.

The Specialist I, Prior Authorization (PAS) will review, process, and troubleshoot incoming Prior Authorization requests for various medications, accurately processing the requests according to regulatory and client specific guidelines. The PAS will work with team members to meet departmental performance metrics, maintain compliance, and work with clinical teams to ensure timely and accurate request processing via phone, fax, and web submission.

This role will evaluate customer interactions, ensure adherence to quality standards, and provide actionable feedback to improve service delivery and customer satisfaction. This role focuses on monitoring and evaluating customer service interactions, it does not involve software testing. The candidate must reside within the continental US.

Submit insurance claims with accuracy, using CPT, ICD-10, and HCPCS codes. Follow up on denials, delays, and unpaid claims—no loose ends here! Communicate with insurance companies and patients with kindness and clarity. Post payments, adjustments, and write-offs to patient accounts. Verify insurance eligibility and benefits ahead of time. Work closely with providers. Keep patient info secure and stay HIPAA-compliant. Stay on top of billing rules, payer guidelines, and industry changes.