Funding Specialist Lead

🔥 14 hours ago

🤠 Texas – Remote

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⏰ Full Time

🟠 Senior

👻 Ghost score 10%

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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 according to company policy and expected 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, leave, open positions, and other identified needs • Communicate with referral sources, physicians, therapists, RTSs, clients, and internal and external customers to secure required documentation • Request, gather, review, and verify funding package documentation, prescriptions, Letters of Medical Necessity, evaluations, price lists, and forms • Review documentation for payer guideline compliance and educate relevant parties when documentation is incomplete or inaccurate • Gather and verify insurance coverage information and communicate benefits and coverage to clients • Maintain client communication, including financial responsibility notifications and hardship-process guidance where allowed • Follow document-collection escalation policies and coordinate 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, identify training opportunities, and coordinate improvements or UPD updates • Facilitate problem solving and collaboration • Motivate and recognize team members • Assist with customer complaints, billing and payer concerns, and correspondence • Support performance monitoring and evaluation processes • Communicate team status, task accomplishment, and direction to management • Perform routine audits to identify coaching opportunities and ensure high staff performance • Assist with new business acquisitions and temporary branch 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 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 interpersonal skills • Strong leadership skills • Strong team player • Strong organizational skills and attention to detail • Customer service driven • Excellent computer and technology skills • Good knowledge of Microsoft Office applications, 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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