Apria Healthcare

Billing Center Quality Team Lead

Requisition ID
2018-2779
# of Openings
2
Category
Revenue Management
Full/Part Time
Full-time

Job Summary

Apria Healthcare is one of nation’s leading providers of home healthcare products and services including respiratory therapy, sleep apnea therapy, non-invasive ventilation therapy, enteral nutrition therapy, negative pressure wound therapy and home medical equipment. Headquartered in Lake Forest, California, Apria owns and operates branch locations across the nation and serves more than 1.8 million patients each year. With over $1 Billion in annual revenues, Apria is one of the largest home healthcare companies in the United States. Apria was the first company of its type to obtain voluntary accreditation from The Joint Commission and has been continuously accredited for more than 25 years. For more information, visit www.apria.com.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Performs internal account audits and summarizes for management.
  • Assists with reporting and supports improvement of department performance metrics.
  • Ensures that all orders are revenue qualified according to Apria policy and procedures and “best practices” and results in the production of clean claims.
  • Works with field partners, e.g., branch managers, to answer questions and address special cases.
  • Identifies and records errors in the system, as appropriate, and provides input to management on training opportunities
  • Contributes and participates in facilitating communication/feedback between branch and billing center on revenue qualification issues.
  • Complies with all regulatory areas, policies and procedures and “best practices”.
  • May assist in resolving customer complaints and coordinating appropriate corrective action associated with the delivery of products and billing for services.
  • Researches inquiries regarding patient information, insurance verification and initial authorization and billing.
  • Considered a subject matter expert for payor change in multiple areas (Medicare, Medicaid, national payors, etc.).
  • Provides process direction and guidance to staff.
  • Assigns, directs work, and coaches staff.
  • Participates in training new Department staff.
  • Performs other duties as required.

 

SUPERVISORY RESPONSIBILITIES

  • N/A

Minimum Required Qualifications

MINIMUM REQUIRED QUALIFICATIONS

 

Education and/or Experience

  • High school diploma is required.
  • Three years of related experience is required.
  • Two years of medical billing experience is required.
  • Two years specific experience regarding processes involved in payor changes

 

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.

 

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.

EEO Statement

As an EOE/AA employer, Apria Healthcare is committed to providing all applicants and employees with equal access to employment opportunities, regardless of sex, race, age, color, national origin, disability, pregnancy, religion, genetic information, sexual orientation, transgender status, gender identity, marital status, veteran status, or any other characteristic protected by federal, state, or local law.  Apria Healthcare shall abide by the requirements of 41 CFR 60-300.5(a) and 60-741.5(a). These regulations prohibit discrimination against qualified individuals on the basis of protected veteran status or disability, and require affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans and individuals with disabilities. AA/EOE, M/F/Disability and Vet

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