Patient Qualification Specialist Lead - Apria
PLAINVIEW, NY
About the Job
At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 50+ facilities across the US and 18,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care. Customers—and their patients—are at the heart of what we do.
Our mission is to empower our customers to advance healthcare, and our success starts with our teammates.
Owens & Minor teammate benefits include:
+ Medical, dental, and vision insurance, available on first working day
+ 401(k), eligibility after 30 days of employment
+ Employee stock purchase plan
+ Tuition reimbursement
+ Development opportunities to grow your career with a global company
ABOUT THE COMPANY
_Apria Healthcare’s mission is to improve the quality of life for our patients at home. We are looking for empathetic, thoughtful and compassionate people, to meet the needs of our patients. Already an industry leader in healthcare services, we provide home respiratory services and select medical equipment to help our patients sleep better, breathe better, heal faster, and thrive longer._
JOB SUMMARY
The Individual Contributor will provide excellent customer service and product information, solutions and relevant details to patients and providers. Most importantly, this position provides above and beyond communication with our patients so that they feel heard, understood, valued and more connected with Apria. Key responsibilities for creating a positive, patient-centric environment include:
+ 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.
ESSENTIAL DUTIES AND RESPONSIBILITIES
+ Responsible for supporting 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 our patients to maximize their available health plan benefits and to receive the much-needed care as soon as possible.
+ Requests health plan authorizations/information as required; either electronically or verbally.
+ Demonstrates and ability to develop business relationships within the field leadership through close collaboration, partnership, engagement and communication.
+ Successfully completes qualification certification to process three (3) or more product types, includes Document Qualification Process (DQP) certification.
+ Skill level to effectively mentor peers.
+ Ability to support the local branch teams in researching escalations/complaints.
+ Completes audits to ensure order accuracy and process adherence; provides positive and developmental coaching as needed.
+ Champions new initiatives to ensure alignment to company objectives and assist with change management.
+ Completes order revenue confirmation to verify order accuracy prior to submitted claims/billing patient.
+ Support peers by resolving complex payor/plan selections.
+ Performs other duties as required.
SUPERVISORY RESPONSIBILITIES
+ N/A
MINIMUM REQUIRED QUALIFICATIONS
Education and/or Experience
+ High school degree or equivalent
+ 5+ years’ experience in healthcare/health insurance industry
SKILLS, KNOWLEDGE AND ABILITIES
+ Patient-Focused: You start with the patient and work backwards. You invest the time and energy to understand the patients’ objectives, then tie all your activities directly to the achievement of those objectives.
+ Action-Oriented: You thrive as a self-starter who proactively senses and responds to problems and opportunities and requires minimal supervision.
+ Collaborative: You love teamwork. Your colleagues love having you on the team. You work well across functions and groups.
+ An Effective Communicator: You write and speak clearly, concisely and with a spirit of partnership. You actively inform and inspire with your messaging. You speak plainly and are transparent with your business colleagues.
+ Energetic & Passionate: Your passion and energy for health and well-being is deeply founded in your desire to help others and to be a positive role model.
+ Relationship Builder: You excel in getting people involved and building a network of contacts that allow you to multiply your influence on the organization.
Certificates, Licenses, Registrations or Professional Designations
+ N/A
Computer Skills
+ Intermediate skills in Access, Excel, PowerPoint, MS Project, Visio, Word
Language Skills
+ English (reading, writing, verbal)
Mathematical Skills
+ Intermediate 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. This position also may require the occasional lifting of equipment up to 50 lbs.
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. Reasonable accommodations will be provided to assist or enable qualified individuals with disabilities to perform essential functions._
#LI-NT1
If you feel this opportunity could be the next step in your career, we encourage you to apply. This position will accept applications on an ongoing basis.
Owens & Minor is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state or local law.
Owens & Minor (O&M) is a global healthcare company providing innovative products and solutions across the continuum of care. Our integrated technology, products, and services empower healthcare providers and manufacturers as they make a difference in the lives of patients every day. O&M is headquartered in Richmond, Virginia and is comprised of 17,000+ global teammates. We operate within distribution, production, customer service, and sales facilities located across the Asia Pacific region, Europe, Latin America and North America. We are proud to service healthcare industry customers in 90 countries where we do business today.
Life at O&M
When you become an Owens & Minor teammate, you’re joining a diverse, vibrant organization with a focus on excellence and integrity. Guided by our shared values—Integrity, Development, Excellence, Accountability, Listening—O&M teammates strive to deliver superior service across the continuum of healthcare. O&M is committed to creating a growth-oriented culture that values each teammate’s perspective and contributions.
Our mission is to empower our customers to advance healthcare, and our success starts with our teammates.
Owens & Minor teammate benefits include:
+ Medical, dental, and vision insurance, available on first working day
+ 401(k), eligibility after 30 days of employment
+ Employee stock purchase plan
+ Tuition reimbursement
+ Development opportunities to grow your career with a global company
ABOUT THE COMPANY
_Apria Healthcare’s mission is to improve the quality of life for our patients at home. We are looking for empathetic, thoughtful and compassionate people, to meet the needs of our patients. Already an industry leader in healthcare services, we provide home respiratory services and select medical equipment to help our patients sleep better, breathe better, heal faster, and thrive longer._
JOB SUMMARY
The Individual Contributor will provide excellent customer service and product information, solutions and relevant details to patients and providers. Most importantly, this position provides above and beyond communication with our patients so that they feel heard, understood, valued and more connected with Apria. Key responsibilities for creating a positive, patient-centric environment include:
+ 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.
ESSENTIAL DUTIES AND RESPONSIBILITIES
+ Responsible for supporting 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 our patients to maximize their available health plan benefits and to receive the much-needed care as soon as possible.
+ Requests health plan authorizations/information as required; either electronically or verbally.
+ Demonstrates and ability to develop business relationships within the field leadership through close collaboration, partnership, engagement and communication.
+ Successfully completes qualification certification to process three (3) or more product types, includes Document Qualification Process (DQP) certification.
+ Skill level to effectively mentor peers.
+ Ability to support the local branch teams in researching escalations/complaints.
+ Completes audits to ensure order accuracy and process adherence; provides positive and developmental coaching as needed.
+ Champions new initiatives to ensure alignment to company objectives and assist with change management.
+ Completes order revenue confirmation to verify order accuracy prior to submitted claims/billing patient.
+ Support peers by resolving complex payor/plan selections.
+ Performs other duties as required.
SUPERVISORY RESPONSIBILITIES
+ N/A
MINIMUM REQUIRED QUALIFICATIONS
Education and/or Experience
+ High school degree or equivalent
+ 5+ years’ experience in healthcare/health insurance industry
SKILLS, KNOWLEDGE AND ABILITIES
+ Patient-Focused: You start with the patient and work backwards. You invest the time and energy to understand the patients’ objectives, then tie all your activities directly to the achievement of those objectives.
+ Action-Oriented: You thrive as a self-starter who proactively senses and responds to problems and opportunities and requires minimal supervision.
+ Collaborative: You love teamwork. Your colleagues love having you on the team. You work well across functions and groups.
+ An Effective Communicator: You write and speak clearly, concisely and with a spirit of partnership. You actively inform and inspire with your messaging. You speak plainly and are transparent with your business colleagues.
+ Energetic & Passionate: Your passion and energy for health and well-being is deeply founded in your desire to help others and to be a positive role model.
+ Relationship Builder: You excel in getting people involved and building a network of contacts that allow you to multiply your influence on the organization.
Certificates, Licenses, Registrations or Professional Designations
+ N/A
Computer Skills
+ Intermediate skills in Access, Excel, PowerPoint, MS Project, Visio, Word
Language Skills
+ English (reading, writing, verbal)
Mathematical Skills
+ Intermediate 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. This position also may require the occasional lifting of equipment up to 50 lbs.
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. Reasonable accommodations will be provided to assist or enable qualified individuals with disabilities to perform essential functions._
#LI-NT1
If you feel this opportunity could be the next step in your career, we encourage you to apply. This position will accept applications on an ongoing basis.
Owens & Minor is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state or local law.
Owens & Minor (O&M) is a global healthcare company providing innovative products and solutions across the continuum of care. Our integrated technology, products, and services empower healthcare providers and manufacturers as they make a difference in the lives of patients every day. O&M is headquartered in Richmond, Virginia and is comprised of 17,000+ global teammates. We operate within distribution, production, customer service, and sales facilities located across the Asia Pacific region, Europe, Latin America and North America. We are proud to service healthcare industry customers in 90 countries where we do business today.
Life at O&M
When you become an Owens & Minor teammate, you’re joining a diverse, vibrant organization with a focus on excellence and integrity. Guided by our shared values—Integrity, Development, Excellence, Accountability, Listening—O&M teammates strive to deliver superior service across the continuum of healthcare. O&M is committed to creating a growth-oriented culture that values each teammate’s perspective and contributions.
Source : Apria
