DME Care Coordinator

3 days ago

Remote, Oregon, United States 1st Choice DME Full time $48,000 - $96,000 per year

The DME Care Coordinator is a key role focused on delivering exceptional support to patients and providers throughout the durable medical equipment (DME) process. This position emphasizes superior customer service, operational excellence, and a deep understanding of insurance procedures, particularly related to authorizations and documentation. The ideal candidate is a highly organized problem-solver with strong interpersonal skills and a commitment to high-quality care coordination.

Compensation starts at $22/hour, with a generous bonus structure based on Ready-to-Bill (RTB) case volume.

Essential Duties and Responsibilities

Patient Care and Support:

  • Verify patient insurance coverage and eligibility.
  • Review medical records to determine the need for prior authorization.
  • Submit and follow up on prior authorization requests with insurance companies.
  • Provide timely updates to patients and healthcare providers regarding authorization statuses.
  • Collaborate with providers to obtain all necessary documentation for authorizations.
  • Maintain accurate records of all care coordination and authorization activities.
  • Stay current with insurance policies and guidelines related to DME services.
  • Communicate effectively with insurance representatives to resolve authorization issues.
  • Support internal operations personnel with case coordination and process questions.
  • Ensure compliance with HIPAA and all applicable healthcare regulations.

Minimum Qualifications:

  • 3+ years of experience as a DME Care Coordinator or equivalent.
  • Experience working with workers' compensation insurance.
  • High school diploma or equivalent required; Associate degree preferred.
  • Strong knowledge of insurance verification, prior authorizations, and medical documentation requirements.
  • Familiarity with ICD-10 coding and medical terminology.
  • Proficiency with Microsoft Office and healthcare software systems.
  • Excellent organizational and time management skills.
  • Ability to work independently, prioritize tasks, and manage high-volume workflows.
  • Strong written and verbal communication skills.
  • Demonstrated problem-solving and critical thinking abilities.
  • Working knowledge of HIPAA regulations and patient privacy laws.
  • Strong customer service orientation and professional demeanor.

Candidate Skills:

  • Positive attitude and willingness to treat every patient and provider like a member of your family.
  • Clear, professional communication with both peers and management.
  • Ability to remain composed and efficient in high-pressure situations.
  • Desire for continuous learning and improvement.
  • High ethical standards and a team-oriented mindset.

Job Type: Full-time

Pay: From $22.00 per hour

Benefits:

  • 401(k)
  • Health insurance
  • Paid time off

Work Location: Remote

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