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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.


  • 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.


  • High school diploma or equivalent


  • Three years' experience


  • 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

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