DME Coordinator I

2 weeks ago

Atlanta, United States Resurgens Orthopaedics Full time
Job DescriptionJob DescriptionDescription:
  • Provide on-site management of the Resurgens Orthopaedics Durable Medical Equipment (“DME”) Program.
  • Under the direct supervision and orders of the physicians, provide proper fitting and education of orthopaedic DME products for patients, gather necessary paperwork to facilitate billing on behalf of Resurgens Orthopaedics, and collect payments at time of service as directed.
  • Provide the highest level of customer service to patients and their family members, physicians, clinic management, and all other employees.
  • Assist with education of clinical employees on all aspects of the DME Program to cover patient volumes and days off. Meet performance goals of Resurgens Orthopaedics.
  • Properly fit and provide education to patients on the application, use, care, and expected outcome for DME products as indicated by the prescribing physician instructions and manufacturer recommendations.
  • Educate patients on their insurance plans and provisions, financial responsibility, and collection of patient out-of-pocket portion.
  • Create claims for dispensed DME.
  • Document and reconcile inventory and monthly billings.
  • Utilize practice assigned inventory management software to manage daily operational tasks, including but not limited to: patient demographic and insurance information, pre-certification requests, inventory management, purchasing, reporting, patient encounter reconciliations, and CPM rental tracking and maintenance logs.
  • Ensure that all necessary documentation is obtained as it relates to third party payer requirements and standard operating procedures.
  • Obtain and track pre-authorizations and communicate status with patients and providers as necessary.
  • Conduct monthly inventory counts and report discrepancies as found.
  • Ensure proper reports, records, policies, and procedures are maintained relative to the performance of required daily activities.
  • Develop and maintain clinic-specific Operations Manual for the DME Program.
  • Perform patient scheduling for DME product pick-up, fitting, education, order processing, delivery (if applicable), and courtesy call back.
  • Participate in training of new clinical employees, if applicable.
  • Comply with all elements of HIPAA law, Medicare, Medicaid, and other required programs.
  • Participate in any additional training or in-services required by the practice.
  • Coordinate vacation requests with assigned Lead DME Coordinator and/or DME Director and assist with arranging coverage.
Requirements:
  • Bachelor’s degree in Athletic Training, Kinesiology, or Exercise Sciences is preferred. High School diploma is required
  • NATABOC Athletic Trainer, Certified Orthotic Fitter, or comparable professional medical certification is preferred
  • One (1) to two (2) years current work experience in a related clinical position is preferred
  • Experience with the application of DME products to patients is preferred
  • Knowledge of insurance companies with understanding of authorization, verification of benefits, co-pays, and co-insurance
  • Inventory management with EMR and inventory purchasing software programs
  • Interacting with vendor sales representatives

SKILLS/ABILITIES

  • Working knowledge of business and communications software (e.g., Word, Excel, and other related programs), and general business equipment (e.g., facsimile, copier, printer, scanner, etc.).
  • Strong customer service, interpersonal, and organizational skills
  • Medical knowledge in anatomy and medical terminology
  • Technical product and clinical competency
  • General understanding of third party payers
  • Ability to communicate clearly and concisely in all written and oral communications, including email
  • Ability to handle multiple priorities, tasks, and project management
  • Strong organizational skills with great attention to detail
  • Ability to work independently and carry out instructions furnished in written, oral, or diagram form
  • Good judgment and decision making

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