Durable Medical Equipment Assistant Jobs

Verifies patient insurance eligibility and benefits and communicates financial responsibilities to patients, caregivers, and other health care providers.

Obtains and interprets medical documentation, compares documentation with insurance coverage criteria, and creates orders to provide medical equipment and supplies.

Communicates with patients, employees, caregivers, and other health care providers on status of orders.

Collects payments from patients for coinsurance, copays, and self-pay items.

Obtains written orders and prior authorization for appropriate equipment/supplies.

Ensures compliance with Medicare, Medicaid and Accreditation Standards.

Required Education, Certifications and Experience

Preferred Education, Certifications and Experience

Prior work experience with DME and/or hospital operations and knowledgeable of medical categories.

Can direct the negotiations of major contracts under the supervision of their manager.

Can successfully manage Plan workgroup meetings and support advisory groups, if needed, for their practice area.

Bachelor’s degree in any of the business disciplines (e.g. Finance, Economics), scientific areas (e.g. biology, chemistry, pre-med) or liberal studies

Ensuring departmental compliance with quality managements system and ISO requirements.

Make clinical judgment decisions based on clinical experience when applicable.

At least four (4) years clinical experience as a Registered Nurse.

Performs first and second level of Medical Review in determination of claims payment review

Conducts in-depth claims analysis utilizing ICD-10-CM, CPT-4, and HCPCS Level II coding principles

Utilize electronic health information imaging and input medical review decisions by electronic database module.

Performs and understands testing requirements for all rental/capital equipment.

Monitors leased rental equipment for returning to lessor to perform maintenance requirements.

Assists with customer service and provides delivery assistance when necessary.

Monitors rental equipment in "patient ready areas" and tags additional rental equipment when necessary.

Performs monthly vehicle inspections for the Urbana branch.

Processes rental/capital equipment through dirty, cleaning, testing, and storage areas.

Knowledge of practice management, word processing software and EMR applications (Greenway preferred)

Time management skills and the ability to prioritize

KNOWLEDGE, SKILL AND COMPETENCY REQUIREMENTS

Good communication skills and the ability to perform patient education duties

Insure that all necessary documentation is obtained as it relates to payer requirements, standard operation procedures and the organization.

Extensive knowledge of Cold Therapy Units and the ability to provide instruction to patients

Knowledge of practice management, word processing software and EMR applications (Greenway preferred)

Time management skills and the ability to prioritize

KNOWLEDGE, SKILL AND COMPETENCY REQUIREMENTS

Good communication skills and the ability to perform patient education duties

Insure that all necessary documentation is obtained as it relates to payer requirements, standard operation procedures and the organization.

Extensive knowledge of Cold Therapy Units and the ability to provide instruction to patients

Experience using time management skills to prioritize, organize, and track details in order to meet deadlines of multiple projects.

Knowledge / Skills / Abilities

Experience in processing all relevant details, understanding and prioritizing their importance, and drawing clear and concise conclusions.

Experience problem solving, overcoming obstacles, and reaching a positive and successful solution through mathematical or systematic operations.

Experience using MS Office Suite products (Word, Excel, PowerPoint, Outlook).

Investigate customer/sales force complaints and assure complaints are investigated accurately and closed in a reasonable amount of time.

Processes paperwork on a timely basis with verification of insurance benefits.

Completes data entry, filing, and document scanning for each order.

0 – 3 months customer service experience

Min Field of Expertise: Durable medical equipment (DME) experience preferred

Req Courses/Training: Completes annual mandatory education. Completes competency training annually on appropriate equipment. Attends product in-services and training sessions

Is responsible for opening and closing of the store including locking doors and setting the alarm.

Enforces all DOT and FDA regulations as they pertain to Oxygen and DME for the service center they are responsible for

Ensures stock levels are appropriate and cleanliness in warehouse and delivery vehicle is up to highest standards

Ensures that all Medical Equipment Technicians are adhering to company and accreditation standards

Provides patient/client orientation and instructions on the proper use of equipment when applicable

Works with patients/clients to solve a variety of problems, thereby acting as a company field representative

Completes delivery and pickup process through app promptly and accurately