• Job Description

  Req#: R-0225488

  Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

  Work Shift:

  8 Hours - Day Shifts (United States of America)

  Scheduled Weekly Hours:

  40

  Salary Range: $16.00 - $25.50

  Union Position:

  No

  Department Details

  Remote/Work from home after training is complete and with manager approval. Flexible hours.

  Summary

  Demonstrates a broad understanding of the DME industry, including the intake process, documentation, billing, compliance, and performance management.

  Job Description

  Provide first-line communication with a variety of patients, referral sources, and clinicians to facilitate ordering and delivery of durable medical equipment (DME) products, supplies, and services.
  
  Ensure all patient information is processed timely and accurately to enhance patient satisfaction and optimize revenue. Receive inquires and orders by telephone, fax, and email. Gather all necessary documentation, as it relates to payer requirements, standard operating procedures, and compliance programs. Communicate with Equip clinical staff and referral source regarding deficiencies in documentation to meet the coverage criteria of ordered equipment and supplies. Requests needed documentation via email, in-basket messaging, phone calls, or other agreed upon method of communication. Resolve customer concerns, questions, and complaints regarding sale orders as able, or refer complaint to the Equip clinical staff if unable to resolve. Anticipate patient needs for timely set up of equipment or delivery of supplies and respond quickly to complete the intake process.
  
  Create new patient account in the Equip computer system, accurately entering all demographic information, ordering physician and insurance information. Obtains needed medical records to support physician order, verifies insurance, obtains and logs any prior authorizations and prescriptions, and initiates an ABN as needed. Notates all intake information in the Equip patient account. Notifies clinical staff when intake is complete and patient is ready to be set up. Maintain a working knowledge base regarding billing, documentation, and reimbursement guidelines/issues, including but not limited to Medicare, Medicaid, other third party and contracted payers. Depending on department assigned to, may be responsible for setting up patient appointments as well as making follow up calls to patients. Complete tasks with minimum supervision, exercising independent judgment. Perform other duties as assigned by management.

  Qualifications

  High school diploma or equivalent.
  
  Strong knowledge of computer functions and basic Microsoft Office applications. Detail oriented, excellent documentation skills, and the ability to follow through to the end. Basic knowledge of the medical field, with prior experience in home medical equipment helpful.
  
  

  Sanford is an EEO/AA Employer M/F/Disability/Vet.

  
  If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.

• About the company

  Sanford Health, one of the largest health systems in the US, is dedicated to the delivery of health care, genomic medicine, senior care and services, global clinics, research and affordable insurance. Sanford Health Jobs

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