Medical Equipment and Supply Specialist - Continuum of Care
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SSM Health
Reedsburg, WI, US
Summary
Acts as a liaison between providers, payers, and customers to process orders for medical equipment and supplies. Responsibilities include verifying insurance eligibility, obtaining medical documentation, and ensuring correct billing and delivery.
Job Description
It's more than a career, it's a calling.
WI-SSM Health at Home Madison Hammersley
Worker Type:
Regular
Job Highlights:
Schedule: Monday–Friday, 8:30 AM – 5:00 PM
Job Summary:
Acts as a liaison between employees, providers, payers, customers, and other health care providers to obtain necessary documentation and process orders for medical equipment and supplies.
Job Responsibilities and Requirements:
PRIMARY RESPONSIBILTIES
- Obtains and interprets medical documentation, compares documentation with insurance coverage criteria, and creates orders to provide medical equipment and supplies.
- Verifies patient insurance eligibility/benefits and communicates financial responsibilities to patients, caregivers, and other health care providers.
- Reviews, obtains, and logs appropriate medical documentation that supports the reimbursement of equipment/supplies.
- Performs accurate data entry into operating system and processes orders for appropriate equipment/supplies to ensure delivery and correct billing.
- Communicates with patients, employees, payers, caregivers, and other health care providers on status of orders.
- Collects payments from patients for coinsurance, copays, and self-pay items.
- Obtains written orders and prior authorization for appropriate equipment/supplies.
- Ensures compliance with Medicare, Medicaid and Accreditation Standards.
- Works in a constant state of alertness and safe manner.
- Performs other duties as assigned.
EDUCATION
- High School diploma/GED or 10 years of work experience
EXPERIENCE
- Two years' experience
PHYSICAL REQUIREMENTS
- Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
- Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
- Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
- Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
- Frequent keyboard use/data entry.
- Occasional bending, stooping, kneeling, squatting, twisting and gripping.
- Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
- Rare climbing.
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS
- None
Department:
8055000174 Clinical Administration
Work Shift:
Day Shift (United States of America)
Scheduled Weekly Hours:
20
SSM Health is an Equal Opportunity Employer. SSM Health provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender, pregnancy, sexual orientation, gender identity, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law. Click here to learn more.
SSM Health is a Catholic, not-for-profit, fully integrated health system dedicated to advancing innovative, sustainable, and compassionate care for patients and communities throughout the Midwest and beyond. The organization’s 40,000 team members and 13,900 providers are committed to fulfilling SSM Health’s Mission: “Through our exceptional health care services, we reveal the healing presence of God.”
With care delivery sites in Illinois, Missouri, Oklahoma and Wisconsin, SSM Health includes hospitals, physician offices, outpatient and virtual care services, comprehensive home care and hospice services, a fully transparent pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves. For more information, visit ssmhealth.com
Visit jobs.ssmhealth.com to fulfill your calling with SSM Health. Together – We Care.
Founded
1872
Company size
10,001+ employees
Industry
Healthcare
Org type
Nonprofit
Headquarters
St Louis, Missouri
SSM Health is a Catholic, not-for-profit, fully integrated health system dedicated to advancing innovative, sustainable, and compassionate care for patients and communities throughout the Midwest and beyond. The organization’s 40,000 team members and 13,900 providers are committed to fulfilling SSM Health’s Mission: “Through our exceptional health care services, we reveal the healing presence of God.”
With care delivery sites in Illinois, Missouri, Oklahoma and Wisconsin, SSM Health includes hospitals, physician offices, outpatient and virtual care services, comprehensive home care and hospice services, a fully transparent pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves. For more information, visit ssmhealth.com
Visit jobs.ssmhealth.com to fulfill your calling with SSM Health. Together – We Care.
Founded
1872
Company size
10,001+ employees
Industry
Healthcare
Org type
Nonprofit
Headquarters
St Louis, Missouri