Verifier, Associate

Byram Healthcare Centers Inc; Los Angeles (CA); On-site; USD 26,000 - 37,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401(k) Plan

Flexible Spending Accounts

Life insurance

Short- and long-term disability

Job summary

Accendra Health, including its Byram Healthcare brands, is hiring for a customer service representative focused on insurance verification and medical documentation. You will verify coverage, submit authorizations, and help ensure accurate reimbursement across multiple platforms.

Roles require strong communication, familiarity with medical terminology, and the ability to work with diverse teams to meet KPIs. Benefits support health, finances, and well-being for teammates.

Qualifications

• Excellent written and verbal communication skills.
• Working knowledge of MS Office and the ability to navigate multiple platforms.
• Strong analytical and time management skills.
• Familiar with medical terminology and insurances HCPCS/ICD-10 codes.

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.
• Submit authorizations or pre-certification requests to multi-state payers over multiple platforms.
• Document activities accurately in the ERP system and meet KPIs.

Skills

Verbal and written communication

MS Office proficiency

Time management

Analytical skills

Medical terminology and HCPCS/ICD-10

Education

High School Diploma or equivalent

Tools

ERP systems

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/hourPOSITION SUMMARYThe 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 preferredKNOWLEDGE, 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 deadlinesTeammate 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.#ByramHealthcare#AccendraHealth