Insurance Verifier & Reimbursement Specialist

Accendra Health, Inc.; Anaheim, Northern (CA, KY); Hybrid; USD 26,000 - 37,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

401(k)

Flexible Spending Accounts

Life insurance

Short-and long-term disability

Parental leave

Domestic partner benefits

Job summary

Accendra Health seeks a detail‑oriented Verifier Associate to service customer needs by verifying insurance coverage, handling medical documentation, and processing reimbursements. You will liaise with insurers, hospitals, and patients to ensure accurate and timely data entry.

The role requires 1–2 years in customer service and familiarity with medical terminology, HCPCS/ICD-10 codes, and ERP systems. Equal opportunity employer; remote work not offered at this time.

Qualifications

• 1-2 years of customer service experience required
• High School Diploma or equivalent 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 KPIs.

Skills

Customer service

Communication skills

Time management

Analytical skills

Education

High School Diploma or equivalent

Tools

MS Office

ERP system

Job description

Accendra Health seeks a detail‑oriented Verifier Associate to service customer needs by verifying insurance coverage, handling medical documentation, and processing reimbursements. You will liaise with insurers, hospitals, and patients to ensure accurate and timely data entry.

The role requires 1–2 years in customer service and familiarity with medical terminology, HCPCS/ICD-10 codes, and ERP systems. Equal opportunity employer; remote work not offered at this time.