Giving Home Health Care

HME Authorization Specialist

Austin, TX

Sponsorship not specifiedDetected 21 days ago

SalesforceOutbound SalesCustomer SupportCommunicationCollaborationTime Management

About the role

Since 2012, Giving Home Health Care has been supporting individuals impacted by health conditions related to their work in nuclear facilities for the Department of Energy.
As a fast-growing, leading provider, we proudly serve patients across Arizona, Colorado, Kentucky, Missouri, Nevada, New Mexico, Tennessee, Texas, and Utah.
Apply today and help us continue delivering exceptional care to those who need it most.

Manage Document transfers from software platforms to organize patient documents appropriately.
Manage Payor Portal Authorization updates and communicate these updates to team members.
Collaborate with Billing Departments for Pricing/Fee Schedule Updates.
Perform Other Duties as Necessary
As part of the HME Operations Team which compiles, submits, and manages all Prior Authorization requests to the Dept of Labor.

Minimum 3 years of experience in a DME business environment perferred.
Background check, fingerprinting and TB test required To provide the exceptional care our patients deserve, we rely on a team of passionate, dedicated professionals.
Associate's or Bachelor's degree in a healthcare-related field preferred.
Skills and Competencies:
Work Environment and Physical Requirements:
Office-based, on-site role.
May require standing, sitting, or lifting equipment up to 50 pounds.

High school diploma or GED required
Familiarity with DOL, DEEOIC, and private insurance billing processes is a plus.

Deep and instinctual understanding of Durable Medical Equipment and Home Medical Equipment. Its use, functions, and care.
Excellent communication and customer service skills. Strong and kind phone presence.
Detail-oriented with strong organizational abilities.
Brightree Experience
Salesforce experience.
Strong time management skills.

We're committed to creating a supportive, collaborative culture, offering competitive benefits and compensation, and giving our team members the tools and opportunities to grow and advance their careers.

The HME Specialist will serve as a critical member of the Giving Home Medical Equipment patient service team, specializing in the Prior Authorization Management.
Coordinate with internal Giving Home Medical Equipment, Home Health Care, and external referral sources to collect and verify patient information and medical documentation.
Verify appropriate coding, cost, frequency and duration of requested Medical Equipment using Brightree.
Place calls to DOL Medical Benefits Examiners to determine the reasoning behind Authorization processing decisions.
Receive calls from DOL Medical Benefits Examiners regarding questions for submitted Authorization Requests.
Collaborate with HME and Home Health departments as necessary.
Act as a liaison between patients, Home Health teams, clinicians, and payers to ensure seamless communication and service delivery.

With a focus on personalized, in-home care, we are committed to assisting those who have dedicated their careers to these vital roles.

This listing is sourced directly from Giving Home Health Care's careers page and normalized into a canonical job model.