About this role
Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Work Shift
8 Hours - Day Shifts (United States of America)
Scheduled Weekly Hours
40
Compensation
Salary Range: $16.00 - $25.50
Union Position
No
- Department Details
- 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 1-877-949-5678 or send an email to [email protected].