Patient Qualification Specialist

Apria-Healthcare; Phoenix (AZ); Remote; USD 21,000 - 25,000; Full time

Benefits offered by this job

Medical, dental, and vision care

Paid time off

401(k) Plan

Flexible Spending Accounts

Life insurance

Disability coverage

Job summary

Accendra Health is seeking a dedicated Individual Contributor to deliver excellent patient-focused service and product information to patients and providers. This remote role requires collaborating with field teams and operations to ensure timely, accurate health plan documentation and authorizations.

You will problem-solve complaints, provide proactive patient experiences, and help strengthen our culture through programs that support our core values.

Qualifications

• High school degree or equivalent required.
• 1-3 years’ experience in healthcare/health insurance industry desired.
• Customer-focused and able to communicate clearly with patients and providers.

Responsibilities

• Provide excellent customer service and product information to patients and providers.
• Review new patient orders and documentation to obtain required health plan information.
• Request health plan authorizations information as required.
• Support field teams, operations and sales with timely feedback to improve patient experiences.
• Identify trends in complaints and recommend preventative actions.
• Maintain patient-centric communication and help develop employee programs aligning with company values.

Skills

Patient-focused

Action-oriented

Collaborative

Effective communicator

Energetic & passionate

Relationship builder

Education

High school degree or equivalent

Tools

Access

Excel

PowerPoint

MS Project

Visio

Word

Job description

At Accendra Health, we understand that healthcare is complex, and we’re here to make it easier. We help deliver care beyond traditional settings, making essential products and services more accessible through every stage of life. As part of the care team, our teammates play a critical role in delivering personalized, long-term care for the patients we serve.With deep expertise promoting health outside the hospital and a presence in communities nationwide through our Apria and Byram Healthcare brands, Accendra Health does more than just deliver the essentials.If you’re interested in meaningful work with impact, explore our career opportunities and join us in our purpose of Bringing Care To Life.The anticipated salary range for this position is $15 - $18 hourly. The actual compensation offered may vary based on job related factors such as experience, skills, education and location.JOB SUMMARYThe Individual Contributor will provide excellent customer service and product information, solutions and relevant details to patients and providers. Most importantly, this position provides above and beyond communication with our patients so that they feel heard, understood, valued and more connected with Apria. Key responsibilities for creating a positive, patient-centric environment include:Evangelize our customers and turn our disgruntled patients into our biggest fans.Support our Field teams, Operations and Sales, by delivering timely feedback that empowers our teams to deliver exceptional patient experiences.Critically problem-solve common complaints by flagging trends and partnering cross-functionally to recommend and implement preventative measures.Proactively create a better patient experience.Be a champion of the employee experience and drive our unique company culture.Support the development and implementation of employee programs that nurture our company's core values to engage employees and create a positive culture.ESSENTIAL DUTIES AND RESPONSIBILITIESResponsible for supporting hundreds of local branch offices across the country by reviewing new patients orders and documentation submitted by referral sources in order to obtain required documentation and clinical requirements of individual health insurance plans, allowing our patients to maximize their available health plan benefits and to receive the much-needed care as soon as possible.Requests health plan authorizations/information as required; either electronically or verbally.Demonstrates and ability to develop business relationships within the field leadership through close collaboration, partnership, engagement and communication.Performs other duties as required.SUPERVISORY RESPONSIBILITIESN/AMINIMUM REQUIRED QUALIFICATIONSEducation and/or ExperienceHigh school degree or equivalent1-3 years’ experience in healthcare/health insurance industry desiredSKILLS, KNOWLEDGE AND ABILITIESPatient-Focused: You start with the patient and work backwards. You invest the time and energy to understand the patients’ objectives, then tie all your activities directly to the achievement of those objectives.Action-Oriented: You thrive as a self-starter who proactively senses and responds to problems and opportunities and requires minimal supervision.Collaborative: You love teamwork. Your colleagues love having you on the team. You work well across functions and groups.An Effective Communicator: You write and speak clearly, concisely and with a spirit of partnership. You actively inform and inspire with your messaging. You speak plainly and are transparent with your business colleagues.Energetic & Passionate: Your passion and energy for health and well-being is deeply founded in your desire to help others and to be a positive role model.Relationship Builder: You excel in getting people involved and building a network of contacts that allow you to multiply your influence on the organization.Certificates, Licenses, Registrations or Professional DesignationsN/AComputer SkillsIntermediate skills in Access, Excel, PowerPoint, MS Project, Visio, WordLanguage SkillsEnglish (reading, writing, verbal)Mathematical SkillsIntermediate level mathematical proficiency, with a strong ability to understand, interpret and develop spreadsheet data.PHYSICAL DEMANDSThis is a stationary position that requires frequent sitting or standing, repetitive wrist motions, grasping, speaking, listening, close vision, color vision, and the ability to adjust focus. It also may require occasional lifting, carrying, walking, climbing, kneeling, bending/stooping, twisting, pulling/pushing, walking, bending, stooping, and reaching above the shoulder. This position also may require the occasional lifting of equipment up to 50 lbs.This position is remote and requires a distraction free environmentRequired to be in a home office/workspace during scheduled work hoursOTHER INFORMATIONThe essential duties and responsibilities, physical requirements, and work environment described above are representative of those typically required for this position but may vary depending on staffing and business needs at specific locations. The inclusion or omission of a specific duty or physical requirement is, therefore, not determinative of whether that function is essential to a specific individual’s position. Reasonable accommodations will be provided to assist or enable qualified individuals with disabilities to perform essential functions.PLEASE NOTE: This is a remote position which is US-based. This role requires individuals to physically reside and work within the United States. Company systems and equipment are monitored for security and other purposes and removal of Company equipment outside of the United States is not permitted without prior authorization.Teammate BenefitsAs an Accendra Health employee, you have choices to fit your life. Our comprehensive benefits program is designed to meet you where you are — through all of life’s stages. We’ve got you and your family covered with benefits that support your health, finances, and overall wellness.Our benefits program includes:Medical, dental, and vision care coveragePaid time off plan401(k) PlanFlexible Spending AccountsBasic life insuranceShort-and long-term disability coverageAccident insuranceTeammate Assistance ProgramPaid parental leaveDomestic partner benefitsMental, physical, and financial well-being programsIf you feel this opportunity could be the next step in your career, we encourage you to apply.Accendra is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state or local law.Note: Accendra is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at our Company via email, the Internet, or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of our Company. No fee will be paid in the event the candidate is hired by our Company as a result of the referral or through other means.#AccendraHealth