Job Description

About the Job: Patient Qualification Specialist at Accendra Health

At Accendra Health, we believe in simplifying complex healthcare. We extend care beyond traditional settings, ensuring essential products and services are accessible throughout life. Our teammates are vital to delivering personalized, long-term care. With expertise in promoting health outside hospitals and a nationwide presence through our Apria and Byram Healthcare brands, Accendra Health delivers more than just essentials.

If you are seeking 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 $17.67 – $18.89 hourly. Actual compensation may vary based on job-related factors such as experience, skills, education, and location.

Patient Qualification Specialist

Job Summary

The Patient Qualification Specialist provides exceptional customer service, product information, solutions, and relevant details to patients and providers. A key aspect of this role is to foster superior communication, ensuring patients feel heard, understood, valued, and more connected with Apria. Critical responsibilities for creating a positive, patient-centric environment include:

• Evangelize our customers: Transform disgruntled patients into loyal advocates.
• Support Field teams: Provide timely feedback to Operations and Sales teams to empower them in delivering outstanding patient experiences.
• Critically problem-solve: Identify trends in common complaints and collaborate cross-functionally to recommend and implement preventative measures.
• Proactively enhance patient experience: Continuously seek opportunities to improve patient interactions.
• Champion employee experience: Drive our unique company culture.
• Support employee programs: Aid in the development and implementation of programs that nurture core values, engage employees, and cultivate a positive culture.

Essential Duties And Responsibilities

• Support hundreds of local branch offices nationwide by reviewing new patient orders and documentation from referral sources. The goal is to obtain required documentation and meet clinical requirements of individual health insurance plans, enabling patients to maximize benefits and receive necessary care promptly.
• Request health plan authorizations/information as needed, either electronically or verbally.
• Demonstrate the ability to build business relationships with field leadership through close collaboration, partnership, engagement, and communication.
• Perform other duties as required.

Supervisory Responsibilities

N/A

Minimum Required Qualifications

Education and/or Experience

• High school degree or equivalent.
• 1-3 years’ experience in healthcare/health insurance industry desired.

Skills, Knowledge And Abilities

• Patient-Focused: You prioritize the patient’s needs and objectives, aligning all activities to achieve them.
• Action-Oriented: You are a proactive self-starter who identifies and addresses problems and opportunities with minimal supervision.
• Collaborative: You are a strong team player, working effectively across functions and groups.
• An Effective Communicator: You communicate clearly, concisely, and with a spirit of partnership, actively informing and inspiring your colleagues.
• Energetic & Passionate: Your passion for health and well-being stems from a deep desire to help others and be a positive role model.
• Relationship Builder: You excel at engaging people and building a network that amplifies your influence within the organization.

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

This position is remote and requires a distraction-free environment. You are required to be in a home office/workspace during scheduled work hours.

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.

PLEASE NOTE: This is a remote position which is US-based. This role requires individuals to physically reside and work within the United States. Company systems and equipment are monitored for security and other purposes and removal of Company equipment outside of the United States is not permitted without prior authorization.

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.