Patient Qualification Specialist Lead

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 $19.75 - $21.11 hourly. The actual compensation offered may vary based on job related factors such as experience, skills, education and location.

ABOUT THE COMPANY

Apria Healthcare’s mission is to improve the quality of life for our patients at home. We are looking for empathetic, thoughtful and compassionate people, to meet the needs of our patients. Already an industry leader in healthcare services, we provide home respiratory services and select medical equipment to help our patients sleep better, breathe better, heal faster, and thrive longer.

JOB SUMMARY

The Individual Contributor will provide excellent customer service and product information, solutions and relevant details to patients and providers. Most importantly, this position provides above and beyond communication with our patients so that they feel heard, understood, valued and more connected with Apria. Key responsibilities for creating a positive, patient-centric environment include:

• Evangelize our customers and turn our disgruntled patients into our biggest fans.
• Support our Field teams, Operations and Sales, by delivering timely feedback that empowers our teams to deliver exceptional patient experiences.
• Critically problem-solve common complaints by flagging trends and partnering cross-functionally to recommend and implement preventative measures.
• Proactively create a better patient experience.
• Be a champion of the employee experience and drive our unique company culture.
• Support the development and implementation of employee programs that nurture our company's core values to engage employees and create a positive culture.

The anticipated hourly range for this position is $14.88 - $24.62. The actual compensation offered may vary based on job-related factors such as experience, skills, education, and location.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Responsible for supporting hundreds of local branch offices across the country by reviewing new patients orders and documentation submitted by referral sources in order to obtain required documentation and clinical requirements of individual health insurance plans, allowing our patients to maximize their available health plan benefits and to receive the much-needed care as soon as possible.
• Requests health plan authorizations/information as required; either electronically or verbally.
• Demonstrates and ability to develop business relationships within the field leadership through close collaboration, partnership, engagement and communication.
• Successfully completes qualification certification to process three (3) or more product types, includes Document Qualification Process (DQP) certification.
• Skill level to effectively mentor peers. • Ability to support the local branch teams in researching escalations/complaints.
• Completes audits to ensure order accuracy and process adherence; provides positive and developmental coaching as needed.
• Champions new initiatives to ensure alignment to company objectives and assist with change management.
• Completes order revenue confirmation to verify order accuracy prior to submitted claims/billing patient.
• Support peers by resolving complex payor/plan selections.
• Performs other duties as required.

SUPERVISORY RESPONSIBILITIES

• N/A

MINIMUM REQUIRED QUALIFICATIONS

Education and/or Experience

• High school degree or equivalent.
• 5+ years’ experience in healthcare/health insurance industry.

SKILLS, KNOWLEDGE AND ABILITIES

• Patient-Focused: You start with the patient and work backwards. You invest the time and energy to understand the patients’ objectives, then tie all your activities directly to the achievement of those objectives.
• Action-Oriented: You thrive as a self-starter who proactively senses and responds to problems and opportunities and requires minimal supervision.
• Collaborative: You love teamwork. Your colleagues love having you on the team. You work well across functions and groups.
• An Effective Communicator: You write and speak clearly, concisely and with a spirit of partnership. You actively inform and inspire with your messaging. You speak plainly and are transparent with your business colleagues.
• Energetic & Passionate: Your passion and energy for health and well-being is deeply founded in your desire to help others and to be a positive role model.
• Relationship Builder: You excel in getting people involved and building a network of contacts that allow you to multiply your influence on the organization.

Certificates, Licenses, Registrations or Professional Designations

• N/A

Computer Skills

• Intermediate skills in Access, Excel, PowerPoint, MS Project, Visio, Word

Language Skills

• English (reading, writing, verbal)

Mathematical Skills

• Intermediate level mathematical proficiency, with a strong ability to understand, interpret and develop spreadsheet data.

PHYSICAL DEMANDS

This is a stationary position that requires frequent sitting or standing, repetitive wrist motions, grasping, speaking, listening, close vision, color vision, and the ability to adjust focus. It also may require occasional lifting, carrying, walking, climbing, kneeling, bending/stooping, twisting, pulling/pushing, walking, bending, stooping, and reaching above the shoulder. This position also may require the occasional lifting of equipment up to 50 lbs.

OTHER INFORMATION

The essential duties and responsibilities, physical requirements, and work environment described above are representative of those typically required for this position but may vary depending on staffing and business needs at specific locations. The inclusion or omission of a specific duty or physical requirement is, therefore, not determinative of whether that function is essential to a specific individual’s position. Reasonable accommodations will be provided to assist or enable qualified individuals with disabilities to perform essential functions

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

If 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.

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