Durable Medical Equipment Specialist

3 weeks ago


Jacksonville, Florida, United States Jax Spine & Pain Centers Full time
About the Role

We are seeking a highly skilled and detail-oriented Durable Medical Equipment Specialist to join our team at Jax Spine & Pain Centers. As a key member of our staff, you will be responsible for processing and verifying patient DME authorizations, ensuring seamless communication with insurance companies, and providing exceptional patient care.

Key Responsibilities
  • Obtain and review DME authorization requests, following established processes and utilizing multiple computer programs to validate insurance eligibility and requirements.
  • Contact insurance companies to verify benefits and obtain pre-certification and/or authorization when necessary.
  • Accurately enter authorization and/or pre-certification information into the computer system and attach relevant documentation.
  • Ensure timely and effective feedback and follow-up with all authorization and/or pre-certification requests.
  • Process referrals for authorization within regulatory or company-set timeframes.
  • Locate and refer patients to appropriate providers and/or facilities.
  • Communicate efficiently and effectively with other providers' offices, insurance companies, and patients.
  • Notify patients when the outgoing referral process is completed and enter relevant documentation into the patient's electronic medical chart.
  • Responsible for all communicative referral information, including faxes, emails, and telephone calls.
  • Closes check out at end of the day.
  • Processes and verifies new patient referrals in a timely manner.
  • Documents work processes as required.
Requirements
  • High school diploma or equivalent required.
  • Previous experience as a referral coordinator or background in general office work is preferred.
  • Ability to comprehend and follow established office routines and policies.
  • Understanding of insurance carriers' plans and guidelines.
  • Demonstrated working knowledge of medical terminology, CPT, and ICD-9 codes.
  • Good computer skills, including Microsoft Office products.
  • Strong oral and written communication skills.
  • Ability to multi-task efficiently and effectively.
  • Good interpersonal and organizational skills.
  • Highly detail-oriented.


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