Patient Qualification Specialist

Job Description

Patient Qualification Specialist | Accendra Health

The Tone:
This is a remote, full-time role at Accendra Health, a company dedicated to simplifying complex healthcare and ensuring essential products and services are accessible throughout life. Accendra Health, operating through brands like Apria and Byram Healthcare, focuses on personalized, long-term care beyond traditional hospital settings. This position is crucial for delivering on the company’s purpose of “Bringing Care To Life” by facilitating patient access to necessary care and fostering positive, lasting relationships. You will play a key role in ensuring patients feel heard, understood, and valued, while supporting the company’s mission to promote health nationwide.

The TL;DR
• Role: Full Time
• Location: Remote
• Pay: $17.67–$18.89 hourly
• Mission: Ensure patients maximize their health benefits and receive prompt, necessary care by obtaining required documentation, while fostering a positive, connected patient experience.
• Tech Stack: Access, Excel, PowerPoint, MS Project, Visio, Word

What You’ll Actually Do
• Facilitate Patient Access: Support hundreds of local branch offices nationwide by reviewing new patient orders and documentation, obtaining all required paperwork, and meeting clinical requirements of health insurance plans.
• Maximize Patient Benefits: Request necessary health plan authorizations and information, both electronically and verbally, to ensure patients can maximize their benefits and receive prompt, essential care.
• Elevate Patient Satisfaction: Deliver exceptional customer service, provide product information, and offer solutions that transform patients into loyal advocates by ensuring they feel heard, understood, and valued.
• Empower Field Operations: Build strong business relationships with field leadership, operations, and sales teams through close collaboration and timely feedback to empower them in delivering outstanding patient experiences.
• Drive Proactive Improvement: Critically problem-solve by identifying trends in common patient complaints and collaborating cross-functionally to recommend and implement preventative measures, while continuously enhancing patient and employee experiences.

The Must-Haves
• Background: High school degree or equivalent, with a foundational understanding of healthcare or health insurance industry processes.
• Experience: 1-3 years of experience in the healthcare or health insurance industry is desired.
• Skills: Intermediate proficiency in Microsoft Office Suite (Access, Excel, PowerPoint, MS Project, Visio, Word); intermediate mathematical proficiency for understanding, interpreting, and developing spreadsheet data; and clear, concise English communication skills (reading, writing, verbal).
• Bonus: A patient-focused and action-oriented approach, demonstrating the ability to identify and address problems proactively with minimal supervision, and strong relationship-building capabilities.