Durable Medical Equipment Specialist

Summary

Must have a broad understanding of the DME industry, including the intake process, product selection, dispensing and setup, documentation, billing, compliance, and performance management.

Job Description

Provide first-line communication with a variety of patients, referral sources, and clinicians to facilitate ordering and delivery of durable medical equipment (DME) products, supplies and services.

Ensure all patient information is processed timely and accurately to enhance patient satisfaction and optimize revenue. Receive inquiries and orders in person, by telephone, fax, and email. Gather all necessary documentation, as it relates to payer requirements, standard operating procedures, and compliance programs. Obtain any needed prior authorizations for services to be provided according to payer policy. Communicate with patients, caregivers, and providers regarding the coverage, use, and benefits of DME products, supplies and services. Resolve customer concerns, questions, and complaints by identifying problems and coordinating appropriate corrective action. Anticipate patient needs and respond quickly to patient requests.

Input new patient demographics and ordering information into the computer system, creating and assuring accuracy of sale orders and delivery tickets. Educate patients on insurance plans and provisions, financial responsibility, and collection of patient portion. Assist patients with product selection, recommending medically appropriate, cost-effective DME to meet the patient's needs. Provide fitting and patient education on application, use, care and expected outcome for products as indicated by the physician instructions and manufacturer recommendations. This patient education will happen in a variety of patient settings including store, facility, or patient home. Furnish patients with resources, including but not limited to, Customer Handbook, contact numbers, product manuals, reorder information, and educational materials. Process paperwork –confirm accuracy of delivery tickets and complete the sale orders.

Maintain a working knowledge base regarding billing, documentation, and reimbursement guidelines/issues, including but not limited to Medicare, Medicaid, other third party, and contracted payers. Balance the cash drawer and prepares deposits. Assist in maintaining a clean, stocked, and sanitized store. Complete tasks with minimum supervision, exercising independent judgment. May be required to work after store hours in an on-call capacity. Perform other duties as assigned by management.

Qualifications

High school diploma or equivalent.

Strong knowledge of computer functions and basic Microsoft Office applications. Detail oriented, excellent documentation skills, and the ability to follow through to the end. Basic knowledge of the medical field, with prior experience in home medical equipment preferred.

When applicable, the employee must have a current valid driver’s license, and must meet all medical guidelines for Sanford Health Category III drivers.