Verifier, Associate

Byram Healthcare Centers Inc; California (MO); Hybrid; USD 26,000 - 37,000; Full time

Benefits offered by this job

Medical, dental, and vision care

401(k) Plan

Paid time off

Flexible Spending Accounts

Life insurance

Short- and long-term disability

Parental leave

Domestic partner benefits

Well-being programs

Job summary

Accendra Health is seeking a detail‑oriented Customer Service Representative to verify insurance coverage and handle reimbursement requests. You will perform administrative duties related to medical documentation and interact with customers, payors, and healthcare professionals to resolve issues.

The role requires 1–2 years in customer service, familiarity with HCPCS/ICD-10 codes, and strong communication skills. Competitive benefits and a collaborative team environment are offered.

Qualifications

• High School Diploma or equivalent required.
• 1–2 years of customer service experience required.
• Relative reimbursement and/or billing 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 over multiple platforms.
• Communicate effectively with customers, teammates, healthcare professionals, and sales team.
• Review and approve documentation for submission to payers.
• Document activities in ERP system accurately and timely.
• Meet and attain KPI targets.

Skills

Communication skills

MS Office proficiency

Time management

Analytical skills

Insurance knowledge

Education

High school diploma or equivalent

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™. The anticipated salary range for this position is $23/hour

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

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.