Patient Qualification Specialist Lead Job in New York, NY at Apria Healthcare – 3.1

Job Summary (External):

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.


The Lead Patient Qualification Specialist 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.


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.

Reports to Team Manager

Assist with answering phone calls

Skill level to train new hires to develop their skills



Minimum Required Qualifications (External):
Education and/or Experience

High school degree or equivalent

5+ years’ experience in healthcare/health insurance industry


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


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.


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.


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.

Comprehensive benefits package offered for eligible employees:

Competitive salary

Ability to have early access to earned wages

Medical, Dental and Vision

Healthcare Flexible Spending Accounts and Healthcare Savings Accounts

Life, AD&D and Disability Insurance

Paid Time Off, including Vacation, Personal Time, Paid Sick Leave & Paid Holidays

401K Savings Plan (available immediately)

Educational Assistance

Employee Referral Reward Program

Employee Discount Programs

Company Paid Employee Assistance Plan (available immediately)

We recognize our veterans by offering a company paid day off for Veterans Day

Career Advancement/ Development Opportunities

Compensation is commensurate with experience

Annual compensation is based on a 40 hour week

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

About the Company

Company: Apria Healthcare – 3.1

Company Location:  New York, NY

Estimated Salary:

About Apria Healthcare - 3.1