DCH Health Care Authority
HME Intake Specialist (reports to supervisor)
Tuscaloosa, AL, US
Sponsorship not specifiedDetected 37 days ago
ExcelProcess ImprovementCustomer SupportCommunicationProblem SolvingOrganizational SkillsMicrosoft Office
About the role
- Overview The intake specialist is responsible for obtaining accurate information for each home medical equipment referral/order received based on the payers' guidelines and specified criteria.
- The intake specialist will determine when an Advance Beneficiary Determination is needed and will discuss all payment criteria with the patient prior to delivery.
- The intake specialist will provide requested additional documentation needed by CMS and work well with the other staff.
Responsibilities
- Performs data entry of patient information into the HME software.
- Properly documents all contact.
- Performs functional tests prior to set-up and delivery of the equipment.
Requirements
- Must be able to perform the duties with or without reasonable accommodation.
- Excellent customer service and organizational skills required.
- Must be able to read, write legibly, speak, and comprehend English.
- Monitors all physician orders insuring that the orders are timely, properly signed and dated as required by the Supplier Manual.
- Responds to patient calls and routes them appropriately, according to degree of urgency.
Benefits
- Reviews and monitors all home medical equipment referrals.
- Reviews the Local Determinations of Coverage via the CGS Website to insure all items are issued to patients in accordance with the established guidelines.
- Insures that all medical documentation is appropriately signed, dated and authenticated.
- Performs verification of the patient's health insurance coverage for the requested item.
- Verifies insurance, interprets coverage and calculates amount due by patient.
- Ensures proper handling of money is maintained daily, following DCH HME Cash Handling Policy Delivers/picks-up equipment and supplies to patients' home, at DCH Home Medical Equipment or at the hospital.
- Provides education regarding the proper use and maintenance of the equipment and uses manufacturers' service manuals and patient education documentation.
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This listing is sourced directly from DCH Health Care Authority's careers page and normalized into a canonical job model.