Change Order Specialist

3 weeks ago


Oklahoma City, Oklahoma, United States Aveanna Healthcare LLC Full time
Job Title: Change Order Representative

Aveanna Healthcare LLC is seeking a highly skilled and detail-oriented Change Order Representative to join our team. As a key member of our operations team, you will play a critical role in ensuring the accuracy and efficiency of our medical supply chain.

Job Summary:

The Change Order Representative is responsible for reviewing and processing changes to existing patient orders. This includes verifying prescription validity, authorization, insurance requirements, demographics, patient needs, and notation prior to shipping medical supplies.

Key Responsibilities:
  • Enter demographics and other pertinent information into our digital system and ensure completion of all change order paperwork
  • Verify insurance coverage, explain benefit information to patients and case managers, collect and process payments as applicable
  • Identify patients' needs, clarify information, research every issue, and provide solutions
  • Responsible for authorization submissions and authorization follow-up by obtaining met daily expectations
  • Responsible to determine a CRX and a valid prescription with formula calculation knowledge
  • Insurance and payor portal navigation knowledge
  • Meet daily, monthly, and quarterly metrics and goals set by management
  • Communicate effectively with other departments to present solutions to any patient concerns
  • Ensure work being performed meets internal and external compliance requirements
  • Maintain confidentiality of all information; adhere to all HIPAA guidelines/regulations
  • Varying clerical work including faxing, scanning, and copying
Requirements:
  • High school graduate
  • A minimum of 2 years proven experience
  • Proficient in Microsoft suite of products including Outlook, Word, and Excel
Preferred Qualifications:
  • Education or experience equivalent to a bachelor's degree in a related field highly preferred
  • Home Health/DME related experience preferred; knowledge of insurances a plus
What We Offer:

Aveanna Healthcare LLC offers a competitive benefit package, including health, dental, vision, life insurance, and a 401(k) savings plan with employer match. Our full-time employees also enjoy 100% remote work options and a starting pay of $17.00 per hour.

Candidates in the Central time zone will be prioritized for consideration.



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