Verifier, Associate

Accendra Health, Inc.; Anaheim, Northern (CA, KY); Hybrid; USD 42,000 - 52,000; Full time

Benefits offered by this job

Medical benefits

Paid time off

401(k)

Flexible Spending Accounts

Life insurance

Disability coverage

Assistance program

Parental leave

Domestic partner benefits

Well-being programs

Job summary

Accendra Health, Inc. is seeking a Customer Service/Insurance Verification representative to support our payer processes. The role involves verifying insurance coverage, handling medical documentation, and ensuring accuracy in reimbursement submissions across multiple platforms.

The position requires attention to detail, strong communication, and the ability to manage priorities to meet daily and weekly deadlines. Training occurs on-site with a subsequent hybrid work arrangement to follow.

Qualifications

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

Responsibilities

• Answer questions from customers, clerical staff, insurance companies and physician offices.
• Make outbound calls to obtain documentation for reimbursement of orders shipped.
• Identify and resolve customer issues or reimbursement discrepancies.
• Verify customer benefits via phone, fax, and web portal.
• Submit authorizations or pre-certification requests to multi-state payers.
• Communicate effectively with customers, teammates, healthcare professionals, and sales team.
• Review and approve documentation for submission to payors for reimbursement.
• Document activities in ERP system accurately and timely.
• Meet and attain required KPIs.

Skills

Excellent communication

MS Office proficiency

Multi-platform navigation

Analytical skills

Time management

Medical terminology

Ability to follow instructions

Priority triage

Education

High School Diploma or equivalent

Customer service experience 1-2 years

Billing/reimbursement exposure preferred

Tools

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, 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).

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.