Verifier, Associate

Apria Healthcare; Sacramento (CA); Vor Ort; USD 26.000 - 37.000; Vollzeit

Benefits dieser Stelle

Medical, dental, and vision coverage

401(k) Plan

Paid time off

Short- and long-term disability

Life insurance

Domestic partner benefits

Paid parental leave

Zusammenfassung

Accendra Health is hiring for an Insurance Verification/Administrative Support role. You will verify coverage, handle medical documentation, and support reimbursement processes for patients.

The team collaborates with customers, healthcare professionals, and sales to ensure accurate claims and timely authorizations. Ideal candidates have a High School Diploma and 1–2 years in customer service, with familiarity in medical terminology and insurance coding.

Qualifikationen

• High School Diploma or equivalent.
• 1-2 years of customer service experience.
• Reimbursement/billing experience preferred.

Aufgaben

• Answer questions from customers, clerical staff, insurers and physicians.
• Make outbound calls to obtain documentation for reimbursement of orders.
• Identify and resolve customer issues or reimbursement discrepancies.
• Verify customer benefits via phone, fax, and web portal.
• Submit authorizations or pre-certifications to multi-state payers.
• Document activities accurately in the ERP system and meet KPIs.

Kenntnisse

Communication

MS Office

Analytical Skills

Time Management

Medical Terminology

Insurance Codes

Prioritization

Ausbildung

High School Diploma

Tools

ERP system

Payor portals

Jobbeschreibung

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

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 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 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.