Patient Qualification Specialist

About the role

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™.

Responsibilities

• 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.
• Support 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 patients to maximize their available health plan benefits and receive needed care as soon as possible.
• Request health plan authorizations/information as required; either electronically or verbally.
• Demonstrate ability to develop business relationships within the field leadership through close collaboration, partnership, engagement and communication.
• Perform other duties as required.

Requirements

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

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 may also require occasional lifting of equipment up to 50 lbs. This position is remote and requires a distraction‑free environment; required to be in a home office/workspace during scheduled work hours.

Skills

• Patient‑Focused: start with the patient and work backwards; invest time to understand patients’ objectives and tie activities to achievement.
• Action‑Oriented: self‑starter who proactively senses and responds to problems/opportunities with minimal supervision.
• Collaborative: love teamwork; work well across functions and groups.
• Effective Communicator: write and speak clearly, concisely, with partnership spirit; actively inform and inspire; speak plainly and transparently.
• Energetic & Passionate: passion and energy for health and well‑being founded in desire to help others and be a positive role model.
• Relationship Builder: excel in getting people involved and building a network of contacts to multiply influence.
• Computer Skills: intermediate skills in Access, Excel, PowerPoint, MS Project, Visio, Word.