Durable Medical Account Specialist at Akron Children's Hospital Careers

Full-Time

8:00Am- 4:30Pm

Summary:

The Durable Medical Account Specialist will play a crucial role in customer intake and resupply. The ideal candidate will be reliable, self-motivated, have exceptional customer service and administrative skills, experience in the healthcare industry, and knowledge of Medicare, Medicaid, Private Insurance and Private Pay Billing. Attention to detail and team collaboration is required to ensure accurate and proper transfer of personal healthcare information, obtainment of insurance authorizations, order processing, and fulfillment.

Responsibilities:

Provides superior internal and external customer experience; prioritizing communication and maintaining professionalism

Receives and reviews durable medical equipment/home medical equipment (DME/HME) referrals and resupply requests to determine eligibility

Verifies benefits and obtains authorization for new and existing patients

Enters and manages personal healthcare information/medical documentation in ERM system

Collaborates with referral sources and providers to obtain certificate of medical necessity (CMN) documents, clinical documentation, and orders

Confirms all patient account information is accurate and complete in collaboration with billing to ensure reimbursement for supplies

Builds sales order templates; manages and processes new, existing, and refill orders

Provides customer/patient with product education as necessary

Monitors and advances work in progress (WIP) states.

Effectively communicates and collaborates with team members to drive results

Complies with laws and regulations and upholds all compliance and accreditation standards

Other duties as required/assigned.

Other information:

Technical Expertise:

Answering multi-line phone system

Knowledge of Electronic Medical Records (EMR) systems

Knowledge of DME/HME products, services, and applicable government regulations

Knowledge of HIPAA confidentiality requirements

Knowledge of medical claim billing and medical terminology

Knowledge of insurance policy and guidelines

Strong communication skills in speaking and writing

Organizational skills sufficient to maintain consistent accurate records

Efficient in computer skills and Microsoft Office proficient (Outlook/Word/Excel)

Compassion to serve and educate customers/patients

Education and Experience:

High school or equivalent

Proficiency in Microsoft Office required

Minimum 2 years DME/Healthcare experience required

Brightree or Electronic Medical Records (EMR) experience a plus

EPIC experience a plus

Full Time

FTE: 1.000000

Status: Onsite