Clinical Liaison

3 months ago

Omaha, United States Numotion Full time

By joining Numotion, you will be a part of the nation's leading provider of Complex Rehabilitation Technology. Numotion is helping thousands of people with individually configured, medically necessary mobility products and services. From manual and powered wheelchairs to disposable medical supplies that serve unique medical and functional needs, we are improving the lives of people with disabilities by enabling them to actively participate in everyday life. Maintaining our standing as the industry leader in CRT comes from having a workforce with a diverse mix of minds, backgrounds and experiences, and we are committed to cultivating an inclusive work environment based on open dialogue, active listening and ongoing definitive actions.

SUMMARY OF RESPONSIBILITY:

The Clinical Liaison provides clinical support by generating documentation of equipment justification based on the Assistive Technology Professional’s evaluation to ensure funding of both basic and complex rehab equipment. In this position, the Clinical Liaison may provide clinical feedback to the ATPs if equipment justification does not support the equipment chosen. This role would be a source for direct support and communication to key referral accounts.

Essential Functions:

  • Provide dedicated order processing support to key referral account(s) as directed by the Operations Manager and affiliated ATPs.
  • Responsible for collaborating with branch OMs for held billing resolution.
  • Analyze and report to OM and Director of Field Operations on order processing trends and timeliness.
  • Monitor key referral account OIP for accurate and timely processing of all orders for funding approval, procurement, scheduling and delivery.
  • Collaborate with managers and ATPs regarding pended order resolution.
  • Coordinate submission and follow-up of prior authorizations when special handling is required by payer or location.
  • Responsible for collection and evaluation of key referral account medical documentation, which includes reviews for medical necessity, technical accuracy and compliance standards.
  • Collaborate with the Document Funding Center to communicate issues and changes with payers to OMs and ATPs.
  • Work with IT and DFC Supervisors to resolve regional Payer Profile coding and allowable discrepancies.
  • Analyze individual order gross profit margins and solutions when requested by key referral account ATPs.
  • Analyze and educate staff on regional denial trends as well as on solutions for order approvals.
  • Support ATPs with information and education to their key referral account when requested, including client financial obligations and the Payer process.
  • Organize the scheduling and set up of loaner equipment as needed with ATPs and Seating Technicians.
  • Coordinate key referral based service and repair as needed or requested.
  • Provide support to the regional DFC as directed by the DFO and OM.
  • Develop & execute plans as directed from the DFO and OM to meet and exceed financial goals.
  • Respond to all internal and external customers in a timely & professional manner.
  • Contact RTS, ATPs, CCCs, SC and DFC staff as necessary for clarification in order process needs, documentation, timelines, responsibilities, adjustments, and deliveries.

Other Functions :

· Perform related duties as required.

The duties listed above are intended only as illustrative of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar or a logical assignment to the position.

QUALIFICATIONS AND COMPETENCIES :

· Minimum of an Associate’s degree in a Rehab Science.

· Clinical certification or 2-3 years industry background with proven skills related to medical documentation review related experience or training required.

· Experience in all facets of CRT preferred.

· Assertive, self-directed; able to work without supervision.

· Ability to work over eight hours in a work day, and over 40 in a work week as necessary.

· Basic understanding of financial reporting – P&L, medical billing reports.

· Ability to give understandable written and verbal instructions.

· Ability to work in a fast-paced environment and juggle multiple priorities.

· Strong interpersonal skills and problem resolution abilities.

· Ability to perform job with integrity and values consistent with the Numotion Mission.

· Proficiency in Microsoft Office Suite required.

· Able to think quickly, assess a situation and make a sound decision.

· Able to use technology to optimize efficiency and effectiveness.

· Solid written and verbal communication, listening, organization and priority setting skills.

· Listens well and retains instructions; accepts constructive feedback from supervisor.

· A track record of being consistent with attendance.

REQUIRED CREDENTIALS & TRAINING/EDUCATION

Not Applicable at this time or I am current on credentials and training/education requirements and can provide documentation if requested.

Mental and physical requirements :

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Must be highly mobile, able to access all areas of the premises;
  • Ability to concentrate and remain focused while handling multiple tasks, responsibilities and projects;
  • Ability to work over eight hours in a work day, and over 40 in a work week as necessary;
  • Ability to read, comprehend and follow written and verbal instructions.

At Numotion, we offer competitive compensation packages, including medical, dental and vision insurance, short and long term disability, a 401k and life insurance. Numotion is an equal opportunity employer. We strive for a workplace that reflects the communities we serve and do not tolerate discrimination against our employees, customers and partners regardless of ethnicity, disability, gender identity, sexual orientation, religion, age, citizenship, marital or veteran status. Numotion is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Required Skills

Required Experience

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