We are seeking a versatile Medical Biller & Administrative Specialist to support our busy Ophthalmology practice. This role is unique in that it combines the technical precision of the Revenue Cycle (AR, Claims, Denials) with the patient-centric flow of Front Office Administration. The ideal candidate is a "Hybrid VA" who understands the nuances of vision-related medical coding and is equally comfortable navigating AthenaHealth to troubleshoot a denied claim or provide a warm experience for a patient on the phone. Key Responsibilities 1. Revenue Cycle Management (RCM) - Claims & Denials: Manage the full lifecycle of insurance claims, including scrubbing, submission, and aggressive follow-up on rejected or denied claims. - A/R Management: Review Aging Reports to identify outstanding balances and execute recovery strategies. - Appeals: Draft and submit clinical appeals for denied Ophthalmic procedures (e.g., injections, surgeries, or diagnostic imaging). - Payment Posting: Accurately post insurance payments and patient co-pays within AthenaHealth. 2. Front Office Administration - Patient Scheduling: Manage a high-volume surgical and routine exam calendar, ensuring appointments are optimized for provider flow. - Inbound/Outbound Calls: Serve as a primary point of contact for patient inquiries, scheduling requests, and general practice questions. - Insurance Verification: Perform real-time eligibility checks and explain out-of-pocket costs or vision vs. medical insurance differences to patients. - Chart Readiness: Ensure all patient charts are prepped with necessary authorizations and referrals prior to the date of service.

The Patient Services Associate I answers incoming calls to schedule Radiology appointments and makes outgoing calls to patients and physicians. The majority of time will be spent handling scheduling and pre-registration calls based on business needs. Follows standardized process to get and give information during scheduling/pre-registration calls according to documented work processes. Enters all information into the applicable computer programs and systems. Determines the needs of other callers with a focus on one call resolution and ensures every customer receives the highest quality of customer service. Specific duties include, but are not limited to: - Takes incoming calls to schedule Radiology appointments and contacts patients and referring physician offices to schedule appointments. - Follows prescribed list of questions/scripts and provides standardized responses to get and give information during scheduling/pre-registration. - Ensures the gathering of accurate and complete patient data required to complete the scheduling process and any specific information required by customer facility. - Enters all information into the applicable computer system in accordance with documented work processes. - Determines customers’ needs based on incoming calls, escalates calls as necessary to Patient Services Supervisor or Patient Services Manager as appropriate. - Completes any additional job duties as assigned Position Requirements: - High School Diploma or equivalent experience required. - 6 months+ of medical or related training and/or experience - Computer literacy and experience with general office equipment required. - Strong multi-tasking abilities, strong communication skills, ability to work well with physicians, patients, and coworkers - Excellent interpersonal and customer service skills.. ​ Physical Requirements: Standard office environment. More than 50% of the time: - Sit, stand, and walk. - Repetitive movement of hands, arms and legs. - See, speak and hear to be able to communicate with patients. Less than 50% of the time: - Stoop, kneel or crawl. - Climb and balance. - Carry and lift 10-20 pounds Residents living in CA, NY, Jersey City, NJ, WA and CO click here to view pay range information. Akumin Operating Corp. and its divisions are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, age, race, religion, color, national origin, sex, sexual orientation, gender identity & expression, status as a protected veteran, or disability.

Fully Remote: Monday - Friday 8:30am Eastern - 5:00pm Eastern Time What Customer Service Operations contributes to Cardinal Health Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution. Job Summary The Senior Coordinator, Prior Authorization is responsible for obtaining, documenting, and tracking payer approvals for durable medical equipment (DME) orders, including diabetes devices and other clinically prescribed supply categories (e.g., ostomy, urological, wound care). This role submits prior authorization requests through payer portals or via fax, and conducts phone-based follow-ups with payers and provider offices to secure timely approvals. The Senior Coordinator proactively manages upcoming expirations to prevent order delays, meets daily productivity targets, and adheres to quality, compliance, and HIPAA standards. Responsibilities - Review assigned accounts to determine prior authorization requirements by payer and product category. - Prepare and submit complete prior auth packets via payer portals, third-party platforms, or fax (including DWO/CMN, prescriptions, clinical notes, and other required documentation). - Conduct phone-based follow-ups with payers (and provider offices when needed) to confirm receipt, resolve issues, and obtain approval or referral numbers. - Log approvals accurately so orders can be released and shipped; correct rejected/pending decisions by addressing missing documentation or criteria. - Monitor upcoming prior auth expirations and initiate re-authorization early to prevent delays on new and reorder supply shipments. - Prioritize work to give orders a “leg up” based on aging, SLA, and payer requirements. - Capture all actions, decisions, and documentation in the appropriate systems with complete, audit-ready notes. - Ensure secure handling of PHI and maintain full compliance with HIPAA, regulatory requirements, and company policy. - Promptly report suspected non-compliance or policy violations and attend required Compliance/HIPAA trainings. - Achieve daily throughput goals (accounts/records per day) across mixed work types (portal/web, fax, phone). - Meet standardized quality metrics through accurate documentation and adherence to process; participate in supervisor live-monitoring, QA reviews, and 1:1 coaching. - Share payer/process knowledge with teammates and support a strong team culture. - Adapt to changes in payer criteria, portals, and internal workflows; offer feedback to improve allocation, templates, and documentation standards. - Perform additional responsibilities or special projects as assigned. Qualifications - High School diploma, GED or equivalent work experience, preferred - 3-6 years of experience in healthcare payer-facing work such as prior authorization, insurance verification, medical documentation, revenue cycle, or claims, preferred - Proven ability to meet daily productivity targets and quality standards in a queue-based environment preferred. - Strong phone skills and professional communication with payers and provider offices; comfortable with sustained phone work preferred. - High attention to detail and accuracy when compiling documentation (DWO/CMN, prescriptions, clinical notes) preferred. - Self-motivated with strong time management; able to pace independently without inbound-call cadence preferred. - Customer-centric mindset with a sense of urgency; capable of multitasking (working web/portal tasks while on calls) preferred. - Working knowledge of HIPAA and secure handling of PHI preferred. - Experience with diabetes devices (CGMs, insulin pumps), and familiarity with ostomy, urological, and wound care product categories, preferred. - Knowledge of payer criteria for DME prior authorization, including common documentation requirements and medical necessity standards, preferred - Familiarity with payer portals and third-party platforms; experience with Grid or other work allocation tools, preferred. - Exposure to ICD-10/HCPCS coding and basic authorization/claims terminology, preferred, What is expected of you and others at this level - Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments - In-depth knowledge in technical or specialty area - Applies advanced skills to resolve complex problems independently - May modify process to resolve situations - Works independently within established procedures; may receive general guidance on new assignments - May provide general guidance or technical assistance to less experienced team members Anticipated hourly range: $16.75 per hour - $21.75 per hour Bonus eligible: No Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. - Medical, dental and vision coverage - Paid time off plan - Health savings account (HSA) - 401k savings plan - Access to wages before pay day with myFlexPay - Flexible spending accounts (FSAs) - Short- and long-term disability coverage - Work-Life resources - Paid parental leave - Healthy lifestyle programs Application window anticipated to close: 05/05/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here

• Works collaboratively with the healthcare team to provide remote supportive care for patients • Promotes quality patient care, comfort, and a safe environment • Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson • Recognizes the patients, their family/designated care partner(s) in providing safety and compassionate care • Communicates with the interprofessional team, patient, family, and designated care partners