SMC Customer Quality Specialist - Full-time

Description

Apria Healthcare is one of the nation's leading providers of home respiratory services and certain medical equipment, including oxygen therapy, inhalation therapies, sleep apnea treatment and negative pressure wound therapy. Headquartered in Lake Forest, California, Apria owns and operates more than 400 locations throughout the United States and serves more than 1.2 million patients each year. Apria was the first such company to obtain voluntary accreditation from The Joint Commission and has been continuously accredited for more than 25 years. Additional company information can be found at www.apria.com .

• Verifies insurance eligibility and benefits of patients. Obtains verbal / written authorization for medical treatment from appropriate sources.
• Verifies insurance information for accuracy and completeness and resolves discrepancies as needed. Obtains clinical information needed for order processing or reimbursement.
• Contacts patient to: advise them of the order placed on their behalf and to confirm all patient demographic information; to communicate any financial responsibilities and/or additional information necessary for processing the order received; to promote other company product and services, as appropriate.
• Process information received from intake/service personnel.
• Ensures proper selection of information online to ensure timely delivery and appropriate revenue recognition for order.
• Maintains appropriate documentation received with order and conducts follow-up as applicable.
• Demonstrates professional etiquette and courtesy when interfacing with customers.
• Resolves patient/customer complaints by identifying problems and coordinating appropriate corrective action.
• Complies with and adheres to all regulatory compliance areas, policies and procedures, and "best practices".
• Performs other related duties as directed by supervisor.
• Call Center Hours: 8:00am – 9:00pm M-F

Qualifications

• Education or experience equivalent to a high school diploma is required.
• At least two years related experience is required.

Apria Healthcare is an equal opportunity employer. All employment decisions are made without regard to race, color, age, gender, gender identity or expression, sexual orientation, marital status, pregnancy, religion, citizenship, national origin/ancestry, physical/mental disabilities, military status or any other basis prohibited by law.
Because Apria believes in providing a safe work environment, we conduct drug and background checks in our recruiting/hiring processes. AA/EOE, M/F/D/V