Funding Specialist Lead

🕒 September 10

🤠 Texas – Remote

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⏰ Full Time

🟠 Senior

👻 Ghost score 21%

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Logo of National Seating & Mobility

National Seating & Mobility

1001 - 5000 employees

Founded 1992

🏥 Healthcare

📦 Logistics

🏭 Manufacturing

Healthcare • Logistics • Manufacturing

National Seating & Mobility is a provider of comprehensive mobility and accessibility solutions, serving individuals with disabilities and complex medical needs. The company supplies and customizes power and manual wheelchairs, seating and positioning systems, stair lifts, vehicle lifts, ramps, bath modifications, and other home access products; it also offers service and repair, preventive maintenance, remote evaluations, and home medical supplies such as incontinence and enteral products. With more than 30 years of experience and a network of locations, National Seating & Mobility focuses on helping clients maintain independence through personalized equipment, installation, financing, and ongoing clinical and customer support.

📋 Description

• Coordinate with the Division Funding Director, Funding Manager, Funding Supervisor, Branch Manager, Rehabilitation Technology Supplier, and office support personnel to complete operational procedures according to company policy and timelines • Thoroughly review orders for accuracy and educate Funding Specialists when errors are identified • Maintain working knowledge of durable medical equipment, company policies and procedures, and insurance eligibility and reimbursement guidelines • Ensure compliance with company policies and procedures • Manage transaction cycle time from Coding and Pricing Complete to Documentation Complete • Support Funding Specialists during PTO, LOA, FMLA, open positions, and other identified needs • Communicate with referral sources, physicians, therapists, RTSs, clients, and internal and external customers to secure required documentation • Follow documentation collection frequency and escalation policies • Request, gather, review, and verify funding package documentation, prescriptions, Letters of Medical Necessity, evaluations, price lists, and required forms • Verify documentation meets payer guidelines and educate relevant parties when documentation is incomplete or inaccurate • Gather and verify insurance coverage information and communicate benefits to clients • Maintain client communication, including financial responsibility notifications and hardship-process guidance where allowed • Manage funding-related relationships and communications • Coordinate with other funding areas and complete Funding Action Required tasks • Investigate payer documentation requirements and update the UPD • Investigate and resolve funding-process issues and concerns • Complete additional funding tasks including Coding and Pricing, Submissions, Authorization collection, PPQA, and Delivery Verifications • Provide direction, instructions, and guidance to staff • Document best practices, coordinate training opportunities, and identify process improvements and UPD discrepancies or updates • Facilitate problem solving and collaboration • Motivate and inspire team members; recognize team accomplishments • Assist with customer complaints, billing concerns, and payer correspondence • Support management in performance monitoring and evaluation • Communicate team status, task accomplishment, and direction to management • Perform routine auditing to identify coaching opportunities and maintain high staff performance • Occasionally assist new business acquisitions and branches with temporary processing needs • Perform other related duties and special assignments as requested

🎯 Requirements

• Minimum of 3 years of experience related to Durable Medical Equipment and/or Complex Rehab Technology required • Preferred experience in all aspects of a Funding Specialist’s position, including processing both Repairs and Non-Repairs • Extensive knowledge of the process and insurance guidelines to secure funding for Durable Medical Equipment and/or Complex Rehab Technology • Comprehensive knowledge of insurance verification for DME • Experience with applications such as Mobility Advisor or data management systems required • Proven record of excellent people skills, including good communication and inter-personal skills • Strong leadership skills • Strong team player • Strong organizational skills and attention to detail • Customer service driven • Excellent computer and technology skills, including Microsoft Office, Outlook, and PowerPoint • Experience with Excel, including spreadsheets and formulas, and Outlook email required • Ability to be a strong role model for high performance and productivity • Ability to manage and develop others remotely • Ability to read, analyze, and interpret general business reports, technical procedures, work instructions, and governmental regulations • Ability to write reports, business correspondence, and develop training materials • Ability to effectively present information and respond to questions from a variety of staff • Basic understanding of and willingness to learn and adopt professional and industry standards

🏖️ Benefits

• 401k • Company paid Long Term Disability • Tuition reimbursement • Work from home environment

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