[Hiring] Verifier, Associate @Apria Healthcare

Role Description

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.

• 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)

Qualifications

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

Requirements

• 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

Benefits

• 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