Verifier, Associate

Apria Healthcare; Anaheim (CA); Hybrid; USD 26,000 - 34,000; Full time

Job summary

Accendra Health is seeking a customer-focused representative to verify insurance coverage and manage medical documentation. You will communicate with customers, providers, and payers, ensuring accuracy in records and timely submissions.

Responsibilities include obtaining documentation for reimbursement, submitting authorizations across multiple platforms, and maintaining ERP system data to support high-quality service and KPI achievement.

Qualifications

• High School Diploma or equivalent required.
• 1-2 years of customer service experience required.
• Experience with reimbursement/billing is preferred.
• Strong written and verbal communication skills.

Responsibilities

• Verify insurance coverage and benefits for customers.
• Submit authorizations or pre-certifications to payers.
• Handle documentation for medical records and reimbursement.
• Communicate with customers, payers, and healthcare professionals.
• Document activities accurately in ERP system and meet KPIs.

Skills

Excellent communication

MS Office

ERP systems

Analytical skills

Time management

Medical terminology

Instruction following

Triaging priorities

Education

High School Diploma or equivalent

Tools

MS Office

ERP system

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™.

Job Description

The anticipated pay range for this position is $22 per hour

Schedule M-F.

Training on-site and then Hybrid mode.

POSITION SUMMARY

The representative is to service the needs of our customers by accurately verifying insurance coverage, performing administrative activities associated with maintenance of medical documentation and medical records. Including but not limited to verifying coverage, benefits, and authorization/referral requirements.

CORE 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, healthcareprofessionals, and sales team
• Reviews and approves documentation received by third parties for submission to payorsfor reimbursement
• Effectively document activities in ERP system in an accurate and timely manner
• Consistently meet and attain required Key Performance Indicators (KPIs).

EDUCATION & EXPERIENCE

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

KNOWLEDGE, SKILLS, and ABILITIES

• Excellent written and verbal communication skills.
• Working knowledge of MS Office and the ability to navigate multiple platforms
• Ability to learn Byram products and therapies.
• Strong analytical and time management skills.
• Familiar with medical terminology and insurances HCPCS/ICD-10 codes
• Ability to read, understand and follow oral and written instructions and guidelines.
• Ability to triage priorities and meet daily and weekly deadlines

Teammate Benefits

As 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 coverage
• Paid time off plan
• 401(k) Plan
• Flexible Spending Accounts
• Basic life insurance
• Short-and long-term disability coverage
• Accident insurance
• Teammate Assistance Program
• Paid parental leave
• Domestic partner benefits
• Mental, physical, and financial well-being programs

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.

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