Funding Specialist Lead

🕒 il y a 16 jours

🇺🇸 États-Unis – Télétravail

⏰ Temps Plein

🟠 Senior

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of National Seating & Mobility

National Seating & Mobility

1001 - 5000 employés

Fondée en 1992

🏥 Santé

💼 Conseil

🏭 Fabrication

Healthcare • Consulting • Manufacturing

National Seating & Mobility est un fournisseur de solutions de mobilité et d'accessibilité qui propose des fauteuils roulants électriques et manuels personnalisés, des systèmes de positionnement et d'assise, des monte-escaliers et des élévateurs pour véhicules, des rampes, des modifications à domicile, des services de maintenance et de réparation, ainsi que des fournitures médicales à domicile. L'entreprise exploite des sites locaux et un réseau de soutien offrant des évaluations, une maintenance préventive, du financement et des soins personnalisés pour aider les personnes handicapées à vivre plus indépendamment.

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 • Review orders thoroughly for accuracy and educate Funding Specialists when errors are identified • Develop and maintain 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, leave, 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 follow-up 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 and communicate benefits and coverage to clients • Maintain client communication, including financial responsibility and hardship-process guidance where allowed • Coordinate funding actions and complete related tasks, including Coding and Pricing, Submissions, Authorization collection, PPQA, and Delivery Verifications • Investigate payer documentation requirements and resolve funding-process issues • Provide direction and guidance to staff • Document best practices, identify training and improvement opportunities, and address UPD discrepancies or updates • Facilitate problem solving and collaboration • Motivate team members and recognize accomplishments • Assist with customer complaints, billing and payer concerns, and correspondence • Support 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 new business acquisitions and branches with temporary processing needs • Perform other related duties and special assignments as requested

🎯 Exigences

• 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 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 • Excellent people skills, communication, and interpersonal skills • Strong leadership skills • Strong team-player abilities • Strong organizational skills and attention to detail • Customer-service driven • Excellent computer and technology skills • Knowledge of Microsoft Office applications, Outlook, and PowerPoint • Experience with Excel, including spreadsheets and formulas, and Outlook email required • 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

🏖️ Avantages

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

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