Full Time
800
40
Aug 30, 2025
About Us:
Prosper Women’s Health is a thriving OBGYN clinic dedicated to providing exceptional, compassionate care for women at every stage of life. As we continue to grow, we are seeking a highly skilled and experienced Virtual Patient Care Coordinator & Billing Specialist to join our remote team.
???? Please Read Before Applying
Applicants MUST have prior experience working for an Athena Health BPO (either in clinical support or billing functions).
Experience with US medical insurance companies is also required.
Applicants without Athena BPO experience will not be considered.
A background as a Registered Nurse (RN) or physician, especially with OBGYN experience, is a strong advantage.
Medical billing and insurance experience is a significant plus.
Key Responsibilities:
???? Clinical & Patient Coordination:
Manage scheduling for appointments, follow-ups, procedures, and cancellations to optimize clinic efficiency.
Coordinate referrals, pre-certifications, surgery requests, and ensure timely processing based on office protocols.
Act as the main point of contact for patient communication via phone, portal, or
Triage medical concerns and escalate urgent issues per established clinical protocols.
Accurately document patient interactions, medical history, medications, and vital signs in the Athena EHR system.
???? Billing & Insurance Support:
Verify insurance eligibility, confirm coverage, and secure necessary pre-authorizations.
Respond to patient billing inquiries, help resolve issues, and guide patients through payment responsibilities.
Monitor filed claims, identify and correct recurring issues, and assist in refiling or appealing denied claims.
Review Athena’s "Manager Holds" box daily (credit card agreements, pending charges, etc.).
???? Surgical Scheduling & Financial Counseling:
Coordinate scheduling for surgeries and in-office procedures.
Review and communicate patient financial responsibilities, particularly when deductibles exceed $200.
Ensure all surgical services are authorized and properly billed.
???? Financial & Operational Support:
Track claim trends and assist in financial data analysis.
Support the implementation of new services (e.g., sonograms) by analyzing reimbursement data.
Collaborate with front desk and clinical teams to streamline workflows, maximize collections, and enhance the patient experience.
Qualifications:
MUST have experience working with Athena Health through a BPO (clinical, billing, or both).
Experience handling US insurance claims and processes is essential.
Strong familiarity with Athena EHR platform and its operational workflows.
Exceptional English communication and patient service skills.
Preferred: RN, MD, or other licensed medical professionals with OBGYN background.
Bonus: Medical billing certification, CPC, or RCM experience.
Work Environment:
100% Remote (Virtual Position)
Must be available to work US business hours
Strong internet connection and a quiet, professional remote setup required
Why Join Us?
Competitive compensation
Opportunity to work with a passionate and collaborative team
Long-term role with potential for growth
Meaningful work improving the lives of women every day