Apria Healthcare

  • Billing Center Quality Specialist

    Requisition ID
    2018-3802
    # of Openings
    1
    Category
    Revenue Management
    Full/Part Time
    Full-time
  • Job Summary

    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. Additional information can be found at www.apria.com.

     
    ESSENTIAL DUTIES AND RESPONSIBILITIES

    • Contacts insurers / payors to verify insurance coverage and eligibility requirements of patients. 
    • Obtains verbal / written authorization for medical treatment from appropriate sources. 
    • Verifies insurance information for accuracy and completeness and resolves discrepancies as needed. 
    • Confirms that the correct payor and benefit level has been selected within the computer system to ensure proper revenue recognition.  Must be familiar with contractual requirements.
    • Notifies patient of payment responsibilities, past due balances, and payor benefits. 
    • Confirms that all patient / payor demographic information is correct and accurate. 
    • Advises patient of any additional documents that will need to be signed at the time of delivery. 
    • Ensures paperwork is completed accurately and efficiently to facilitate data entry, accounts receivable and delivery of the order placed. 
    • Confirms that payment is guaranteed prior to delivery. 
    • Distributes copies of paperwork to appropriate personnel.
    • Enters information into the computer system in an accurate and efficient manner to facilitate the insurance verification and authorization process. 
    • Maintains appropriate documentation of all insurance verification and authorization forms and transactions.
    • Complies with and adheres to all regulatory compliance areas, policies and procedures, and “best practices”.
    • Performs other duties as required.

     

    Minimum Required Qualifications

    • High School Diploma/GED is required.
    • Two years of related experience is required.

     

    SKILLS, KNOWLEDGE AND ABILITIES

    • 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.

     

    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.


    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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