[Hiring] Healthcare Billing & Patient Care Coordinator @Winning Assistants

Role Description

We are seeking an experienced and compassionate Healthcare Billing & Patient Care Coordinator to support a growing U.S.-based healthcare practice. This role is ideal for someone who combines strong medical billing and prior authorization expertise with excellent patient communication and healthcare administrative skills.

• Manage prior authorizations (PAs) on a rolling basis to help ensure patients receive timely access to services.
• Review patient charts and relevant documentation to identify and complete required prior authorizations.
• Handle weekly medical billing, ensuring services and information are accurately reviewed before submission.
• Verify billing information and submit claims through the appropriate clearinghouse.
• Assist with denied claims, investigate issues, and support appropriate follow-up and resolution.
• Maintain accurate documentation of authorization and billing activities.
• Conduct accurate and timely insurance eligibility and benefits verification.
• Work primarily with Blue Cross Blue Shield (BCBS) insurance processes.
• Review coverage information and identify potential authorization, eligibility, or billing issues before services are provided.
• Assist with insurance-related patient inquiries when appropriate.
• Apply knowledge of U.S. healthcare insurance requirements and workflows to minimize billing delays and denials.
• Respond to new patient inquiries and conduct initial screenings.
• Review patient information to help determine whether prospective patients meet the practice's intake criteria.
• Schedule qualified patients for new patient intake appointments.
• Coordinate consultations for individuals who require additional assessment before moving forward.
• Conduct outbound follow-up calls to maintain appropriate contact with patients throughout their care journey.
• Assist with appointment scheduling, rescheduling, inquiries, and post-treatment follow-ups.
• Answer incoming patient calls professionally and compassionately.
• Monitor and manage voicemail messages and ensure appropriate follow-up.
• Support day-to-day administrative workflows to keep the practice organized and responsive.

Qualifications

• Strong previous experience with U.S. healthcare billing and insurance workflows is required.
• Hands-on experience processing prior authorizations is required.
• Strong knowledge of insurance verification, eligibility, benefits, claims, and denied claims.
• Familiarity with Blue Cross Blue Shield (BCBS) processes is highly preferred.
• Experience working with U.S.-based healthcare practices in a remote or virtual capacity is preferred.
• Experience with behavioral health or mental health practices is a strong advantage.
• Experience using PracticeQ, Office Ally, Availity, or similar EHR, billing, clearinghouse, and insurance platforms is preferred.

Requirements

• Must be highly proficient in spoken and written English, with clear and professional communication skills.
• Must have relevant U.S. healthcare administrative experience.
• Must be able to submit an NBI Clearance and/or Local Police Clearance background check before onboarding.
• Must be available for virtual video meetings with the camera on when required.
• Must maintain patient confidentiality and follow appropriate healthcare privacy and security practices.

Benefits

• Access to world-class support for questions, guidance, contract matters, and client communication.
• A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
• Access to our internal HIPAA compliance training, cybersecurity modules, and certification.
• Access to our proprietary training on communication, client management, productivity systems, and best practices.
• Contractors may take U.S. holidays off according to the client’s needs and schedule.
• Time off may be granted by your client. Paid time off is optional and only if offered by the client.
• Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
• Some clients may offer bonuses, incentives, or increased hours based on your performance.