DubuqueRecruiter Since 2001
the smart solution for Dubuque jobs

Durable Medical Equipment Documentation Specialist III

Company: SSM Health
Location: Madison
Posted on: September 15, 2021

Job Description:

Reviews documentation and takes actions that result in the submission of a clean claim. Acts as a liaison between employees, providers, payers, customers, and other health care providers to obtain necessary documentation and process orders for custom mobility equipment and related equipment and supplies.

PRIMARY RESPONSIBILITIES

  • Reviews documentation and sales orders prior to dropping to AR for accuracy and creation of a clean claim.
  • Obtains and interprets medical documentation, compares documentation with insurance coverage criteria, and creates orders to provide equipment, supplies, and other related equipment/supplies.
  • Verifies patient insurance eligibility and benefits and communicates financial responsibilities to patients, caregivers, and other health care providers.
  • Performs accurate and timely data entry into operating system and processes orders for appropriate equipment and supplies to ensure for timely delivery and correct billing.
  • 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.
  • Assists with training of Specialist team.
  • Assists with audits.
  • Performs other duties as assigned.

EDUCATION

  • High school diploma or equivalent

EXPERIENCE

  • Three years' experience

PHYSICAL REQUIREMENTS

  • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
  • Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
  • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
  • Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
  • Frequent keyboard use/data entry.
  • Occasional bending, stooping, kneeling, squatting, twisting and gripping.
  • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
  • Rare climbing.

Keywords: SSM Health, Dubuque , Durable Medical Equipment Documentation Specialist III, Other , Madison, Iowa

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Log In or Create An Account

Get the latest Iowa jobs by following @recnetIA on Twitter!

Dubuque RSS job feeds