Funding Specialist Lead

🕒 September 10

🤠 Texas – Remote

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⏰ Full Time

🟠 Senior

👻 Ghost score 29%

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Logo of National Seating & Mobility

National Seating & Mobility

1001 - 5000 employees

Founded 1992

🏥 Healthcare

💼 Consulting

🏭 Manufacturing

Healthcare • Consulting • Manufacturing

National Seating & Mobility is a provider of mobility and accessibility solutions that offers customized power and manual wheelchairs, seating and positioning systems, stair and vehicle lifts, ramps, home modifications, service and repair, and home medical supplies. The company operates local locations and a support network delivering evaluations, preventive maintenance, financing, and personalized care to help people with disabilities live more independently.

📋 Description

• Coordinate with the Division Funding Director, Funding Manager, Funding Supervisor, Branch Manager, Rehabilitation Technology Supplier, and office support personnel to complete operational procedures • Review orders thoroughly for accuracy and educate Funding Specialists when errors are identified • Maintain knowledge of durable medical equipment, company policies, 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, LMNs, RTS evaluation information, price lists, and required forms • Verify insurance coverage and communicate benefits and coverage information to clients • Maintain client communication, including financial responsibility and hardship-process guidance where allowed • Coordinate Funding Action Required tasks and collaborate with other funding areas • 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, identify training opportunities, improvements, and UPD discrepancies or updates • Facilitate problem solving and collaboration • Motivate and recognize team members • Assist with customer complaints, billing and payer concerns, and correspondence • Support management performance monitoring and evaluation • Communicate team status, task accomplishment, and direction to management • Perform routine audits to identify coaching opportunities and maintain high staff performance • Assist branches with temporary processing needs and new business acquisitions • Perform other related duties and special assignments

🎯 Requirements

• Minimum of 3 years of experience related to Durable Medical Equipment and/or Complex Rehab Technology • Preferred experience in all aspects of a Funding Specialist’s position, including processing 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 • 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 applications, Outlook and PowerPoint • Experience with Excel, including spreadsheets and formulas, and Outlook email • 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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