Durable Medical Equipment Coordinator

2 weeks ago

Greenfield IN USA, United States Hancock Regional Hospital Full time
Job Summary

We are seeking a highly skilled Durable Medical Equipment Coordinator to join our team at Hancock Regional Hospital. As a key member of our healthcare team, you will be responsible for receiving and coordinating new referrals for Durable Medical Equipment and Supplies. Your primary focus will be on conducting screening and data entry of requests for authorization and eligibility, as well as daily interaction with community and internal referral sources.

Key Responsibilities
  • Receive client requests by phone or fax for new orders, exchange, cancellation, or pickup for durable medical equipment and supplies.
  • Data will be received, client information, insurance verification, and medical equipment information into the computer system for timely and accurate delivery.
  • Perform pre-certification and authorization activities for all requested durable medical equipment, ensuring eligibility and benefits coverage.
  • Review physician orders and applicable documentation to ensure medical necessity and appropriateness criteria are met.
  • Request additional information and documentation from referral sources when necessary.
  • Process orders accordingly once verification and criteria are met.
  • Manage incoming calls from referral sources and customers.
  • Develop and maintain knowledge of Home Medical Equipment and services, including insurance guidelines, Medicare, and Medicaid coverage.
  • Maintain detailed documentation to record client, physician, and referral source communications.
  • Ability to effectively communicate, prioritize work, and handle multiple tasks and projects dealing with complex patient/family dynamics and work in a team environment.
  • Participate in inventory control using Point of Sale system and software for HME.
  • Ability to process and complete sales orders within designated software.
  • Provide education to patients on the application, use, care, and expected outcome for durable medical equipment products as indicated by physician instructions and manufacturer recommendations.
  • Educate patients on insurance plans and provisions, financial responsibility, and collection of patient portion.
  • Perform patient/customer scheduling, education, order processing, delivery, and courtesy call back.
  • Actively promote and foster good relations inter-departmentally and with physician's clinical center personnel, external case managers, payers, and suppliers.
  • Track, maintain, and order durable medical equipment products for the location, including inventory and equipment.
  • Manage site profitability.
  • Comply with all elements of HIPAA, Medicare, Medicaid, and other required programs.
  • Support ONCALL duties.
Expected Behaviors
  • Follow Patients First Behavioral Commitment, AIDET, and customer service training.
  • Communicate clearly and effectively with associates and administration.
  • Follow all policies and procedures applicable to the organization and department.
  • Report any emergency situations to the Director.

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