Funding Specialist Lead

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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National Seating & Mobility

WebsiteLinkedInAll Job Openings

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 Suppliers, and office support personnel to complete operational procedures according to company policy and expected time frames • 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 guidelines for coverage and reimbursement • 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, and clients to secure required documentation • Follow documentation follow-up frequency and escalation policies • Request, gather, and review funding-package and deferral documentation, including prescriptions, Letters of Medical Necessity, RTS evaluation information, price lists, and required 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 to clients • Maintain client communication, including financial responsibility notifications and hardship-process guidance where allowed • Manage funding-related relationships and communications with internal and external customers • 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 staff direction, instructions, and guidance based on management direction • Document best practices, identify training and improvement opportunities, and address UPD discrepancies or updates • Facilitate problem solving and collaboration • Motivate and inspire team members and recognize accomplishments • Assist with customer complaints, billing concerns, and payer correspondence • Support performance monitoring and evaluation processes • Communicate team status, task accomplishment, and direction to management • Perform routine audits to identify coaching opportunities and maintain high staff performance • Occasionally assist with 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 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 • 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 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 / remote work arrangement