Hybrid Insurance Verifier & Reimbursement Specialist

Accendra Health; Anaheim (CA); Hybrid; USD 28,000 - 33,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision care

401(k) Plan

Paid time off

Life insurance

Disability coverage

Parental leave

Domestic partner benefits

Well-being programs

Job summary

Accendra Health is seeking a Customer Service Insurance Specialist to verify benefits, process medical documentation, and support reimbursement workflows across multiple payers. The role emphasizes accuracy, communication, and timely data entry.

You will interact with customers, clerical staff, insurers, and physician offices, ensuring compliant documentation and efficient claim handling while contributing to KPI goals. Training onsite and then hybrid work are provided.

Qualifications

• High School Diploma or equivalent required.
• 1-2 years of customer service experience required.
• Relative reimbursement and/or billing and collections experience preferred.

Responsibilities

• Answer questions from customers, clerical staff, insurance companies and physician offices.
• Make outbound calls to obtain appropriate documentation for reimbursement of orders shipped.
• Utilize resources to identify and resolve customer issues or reimbursement discrepancies.
• Ability to verify customer benefits via phone, fax, and web portal.
• Ability to submit authorizations or pre‑certification request to multi-state payers over multiple platforms.
• Communicate effectively and professionally with customers, teammates, healthcare professionals, and sales team.
• Reviews and approves documentation received by third parties for submission to payors for reimbursement.
• Effectively document activities in ERP system in an accurate and timely manner.
• Consistently meet and attain required Key Performance Indicators (KPIs).

Job description

Accendra Health is seeking a Customer Service Insurance Specialist to verify benefits, process medical documentation, and support reimbursement workflows across multiple payers. The role emphasizes accuracy, communication, and timely data entry.

You will interact with customers, clerical staff, insurers, and physician offices, ensuring compliant documentation and efficient claim handling while contributing to KPI goals. Training onsite and then hybrid work are provided.