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Rehab Repair Coordinator

4 months ago

Lexington, United States Quipt Home Medical Full time

Description

If you have compassion and the passion for helping others, then we want you to join our growing team Quipt Home Medical is a rapidly growing leader in the provision of clinical respiratory equipment and service in the durable medical equipment industry.

Let's start with what's important to you. The Benefits.....

* Medical Insurance- multiple plans to choose from
* Dental & Vision Insurance
* Short Term Disability & Long Term Disability Options
* Life Insurance
* Generous PTO plan
* Paid Holidays
* 401K
* 401K match
* Competitive Pay

Position:

Rehab Repair Coordinator

Essential Job Duties & Responsibilities:

Include, but are not limited to the following, as other duties may be assigned as necessary.

Essential Function:

* Assist clients, team and referral sources with questions about repair order status
* Answer repair calls, emails, faxes
* Verify physician, therapist, clients' demographics, POS, insurance, & correct coordination of benefits along with correctly documented diagnosis codes.
* Communicate professionally, with clients, referral sources & team about order statuses.
* Document notes, communications etc., professionally and transparently within RxWeb & all required record keeping systems
* Verify physician if needed for repairs
* Discern what documentation is needed for financial coverage
* Documentation procurement for clinically necessary items for financial coverage
* Review coding through fee schedules / or PDAC to be sure order is coded correctly prior to sending documentation to referral sources, or for prior authorizations
* Review received clinically supporting documents to see if the client qualifies for the requested medically necessary equipment.
* Advocate for the client with the referral sources for additional documentation if and where needed
* Communicate and engage client & ATP/ RTS where needed for support with documentation procurement
* Discuss & collect any anticipated out of pocket expenses / amounts from a client at any time up to, and including at delivery
* Make payment arrangements, if necessary, in accordance with company policy
* Submits for prior authorization to correct insurance if required
* Documents insurance determination
* Notifies client & team in the event of a deferral or denial
* Notifies ATP/ RTS when approval is received so they can schedule delivery
* Meets weekly with clients care team (ATP, RTS and you) either in person or in Teams to discuss open orders & obstacles
* Submits required documentation to BT for billing

Requirements

Qualifications:

* High School Diploma or G.E.D
* Organizational Skills
* Customer Service Skills
* Clear & professional in all communications, to include verbal & written
* Proficient with computers
* Basic office knowledge
* Basic knowledge of insurance programs / coverage
* Basic knowledge of DME

Job Knowledge, Skills, Abilities, Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.