DME Clerk

1 month ago

pasadena, United States Randstad USA Full time

Job opportunity available with a leading healthcare company in Pasadena, CA They are seeking an experienced DME Clerk with excellent customer service experience to join their Team. If you desire weekly pay, the opportunity to gain admirable experience with a reputable company, then this is the job for you


Must be able to work ONSITE the FIRST 2 Months at the following address:

939 E. Walnut St. Pasadena, CA

Schedule: Operate 7 days a week, must be okay with working weekends

  • based on rotation and daily operational needs of the department
  • Based on operational needs for the department; Schedule may vary 8:30am-5pm, 9:30am-6pm, 11:30am-8pm.

Contract: 3 month contract to begin, review business needs/performance to extend contract and possible opportunity to become a perm employee)


Daily responsibilities:

  • Receives, reviews and authorizes the referrals for DME and P&O orders.
  • Receives, reviews and processes referrals for DME and P&O orders.
  • Review and complete the Notice of Non-Coverage (NONC) Process
  • Interprets Benefits for each patient as it applies to DME criteria
  • Maintains an understanding of Regulatory Requirements
  • Investigates and tracks pertinent patient information.
  • Authorize and orders equipment from outside vendors, analyzing and processing DME forms and reviews medical review to ascertain appropriateness of ordered equipment or prosthesis.
  • Answering phones, order processing, Benefit Eligibility verification. (about 90 calls per day)


Preferred experience:

  • Previous 1 year clerical experience in an acute care/health care setting.
  • DME or Home Health. HMO Experience; Knowledge of DME guidelines, care management and regulatory requirements.
  • Knowledge of Regulatory Regulations (CMS, Medi-Cal, TJC, NCQA, DMHC); Medical Terminology.

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