Payer Change Specialist

  • Full Time
  • Anywhere
  • Posted 2 weeks ago

Job Description

 

Payer Change Specialist

Locations: Remote, United States

Categories: Full-time

Full/Part-time: Full-time

Work Location Type: Fully remote

Compensation: Commensurate with Experience

Req ID: 17715

Job Description

With over 300 locations across the US, Apria Healthcare’s mission is to improve the quality of life for our 1.8 million patients at home by providing home respiratory services and select medical equipment to help them sleep better, breathe better, heal faster, and thrive longer.

JOB SUMMARY

The Payer Change Specialist processes patient changes in insurance.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Ensures that payor changes are completed, payment is guaranteed prior to delivery and revenue is posted appropriately.
  • Verifies that the correct product and payor are used for the service, equipment, and therapy. Ensures that the correct allowable is recorded in accordance with the contract.
  • Contacts payors (online or by phone) to verify insurance coverage and eligibility requirements.
  • Obtains verbal / written authorization for medical treatment from appropriate sources.
  • Verifies insurance information for accuracy and completeness and resolves discrepancies as necessary.
  • Research and resolve accounts and identify gaps between current and former payor requirements and existing billing documentation. Ensure account bills correctly for open and future invoices
  • Answers inbound calls from patients with updates to their insurance
  • Coordinates and contacts patients, branches and referrals to obtain required testing as required by the new payor.
  • Notifies and schedules new testing for the customer.
  • Documents account activity in ACIS and other systems, as required
  • Complies with all regulatory compliance areas, policies and procedures and “best practices”.
  • Performs other duties as required.

Minimum Required Qualifications

Education and/or Experience

  • High school diploma is required.
  • One year of related work experience is required.
  • One year of medical billing experience is required.

Certificates, Licenses, Registrations or Professional Designations

  • N/A

SKILLS, KNOWLEDGE AND ABILITIES

  • Must be familiar with payor contractual requirements.
  • Business Acumen
  • Problem Solving/Analysis
  • Communication Proficiency
  • Personal Effectiveness/Credibility

Computer Skills

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

Language Skills

  • English (reading, writing, verbal)

Mathematical Skills

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

Other Skills

  • N/A

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. Employees in this position must be physically able to efficiently perform the essential functions of the position. Reasonable accommodations will be provided to assist or enable qualified individuals with disabilities to perform the essential functions of the position, upon request.

WORK ENVIRONMENT

Work is performed in an office setting with exposure to moderate noise.

TRAVEL

Occasional travel as required.

Benefits

Comprehensive benefits package offered for eligible employees:

  • Competitive salary
  • Ability to have early access to earned wages
  • Medical, Dental and Vision
  • Healthcare Flexible Spending Accounts and Healthcare Savings Accounts
  • Life, AD&D and Disability Insurance
  • Paid Time Off, including Vacation, Personal Time, Paid Sick Leave & Paid Holidays
  • 401K Savings Plan (available immediately)
  • Educational Assistance
  • Employee Referral Reward Program
  • Employee Discount Programs
  • Company Paid Employee Assistance Plan (available immediately)
  • We recognize our veterans by offering a company paid day off for Veterans Day
  • Career Advancement/ Development Opportunities

Compensation

  • Compensation is commensurate with experience
  • Annual compensation is based on a 40 hour week
  • Salary range
    • $17-$18 (depending on location)

To apply for this job please visit careers.apria.com.