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Patient Account Liaison Specialist
4 weeks ago
The Patient Account Liaison (PAL) is a critical role at Electromed Inc., responsible for reviewing and processing new referrals from patient intake to shipping and insurance approval. As the primary contact for patients, clinics, and Clinical Area Managers within their designated territory, the PAL plays a vital role in ensuring seamless communication and efficient processing of referrals.
Key Responsibilities:
- Review new patient referrals and intake information for required documentation and medical necessity, insurance, demographics, clinical history, etc.
- Collect and organize medical records, maintain electronic charts including comprehensive care plans, medical information, treatment records, and billing data
- Ensure patients have proper authorizations for treatment coverage, perform benefit verification, and submission of authorization requests
- Develop payer knowledge base related to diagnosis, coverage guidelines, and medical criteria
- Communicate professionally and effectively with patients, providers, and internal teams
- Develop relationships with patients and providers by maintaining exceptional service and follow-up care
- Assist internal and field teams, payers, and patients in understanding payer methodologies and resolution of order-related issues
- Effectively submit insurance requests to obtain authorization, utilizing tools such as web portals and authorization partners
Requirements:
- High School diploma or GED required; degree preferred
- Extensive customer service experience with phone contact, preferably in a call center environment
- Substantial experience working directly with providers in healthcare or DME settings
- Strong and solid experience working with insurance companies in the capacity of benefits & coverage, and authorizations
- Previous experience in medical device or other healthcare environments required
- Proficiency working with Microsoft Office suite
- Knowledge of medical terminology
- Familiarity of medical documentation
- Knowledge of Protected Patient Info and HIPAA laws
What We Offer:
- A dynamic and supportive work environment
- Opportunities for professional growth and development
- A competitive salary and benefits package
- A recognition program that rewards outstanding performance
About Electromed Inc.:
Electromed develops, manufactures, and markets innovative airway clearance devices that help people around the world breathe better, stay healthier, and lead active and fulfilling lives.
We are committed to making a positive impact on the lives of our patients and customers, and we are seeking talented individuals who share our passion for delivering exceptional service and support.
