Benefits Specialist
About The Position
The Benefits Specialist administers and processes durable medical equipment (DME) supply orders for patients. Order administration includes responding to benefit inquiries, processing referral documentation, requesting additional documents, and informing patients of the out-of-pocket costs associated with their orders. The role collaborates with internal and external clients and requires strong interpersonal skills. The position is office-based and requires arrival by 9 a.m. Monday through Friday, with a minimum of 36 hours worked each week. The work involves standard office and field-staff safety practices, including compliance with OSHA requirements. The position may change as the work environment evolves, and the specialist may perform other duties assigned by leadership.
Requirements
- At least 2 years of experience in the DME/HME industry.
- Basic understanding of intake documentation, billing, compliance, and medical terminology.
- Ability to communicate effectively, orally and in writing, with the public and employees to exchange and clarify information.
- Ability to identify and resolve problems in a timely manner and analyze information and data.
- Strong understanding of insurance guidelines and reimbursement practices.
- Knowledge of healthcare billing codes, including CPT, ICD-10, and HCPCS.
- Proficiency with computers, Microsoft Office, internal computer systems, insurance portals, and payment processing.
- Strong organizational and time-management skills, including the ability to prioritize tasks.
- High attention to detail when typing and entering information into systems and databases.
- Ability to perform frequent basic math.
- Ability to build and maintain good relationships with coworkers and managers and maintain open communication.
- Ability to multitask, meet deadlines, and adapt to a fast-paced, evolving environment.
- Ability to sit for extended periods, use finger dexterity to operate a keyboard, communicate in person and by telephone, read printed and computer-screen materials, and hear normal conversations.
- Stamina to maintain attention to detail despite frequent interruptions.
- Ability to lift 50 pounds, work in all weather, and perform basic mechanical tasks, particularly troubleshooting respiratory equipment.
Responsibilities
- Process patient orders accurately and promptly to improve patient satisfaction and reduce order cycle time.
- Respond to benefit inquiries from patients, physicians, and therapists.
- Explain patients’ financial responsibility for their durable medical equipment.
- Review and analyze incoming medical documentation for ordering and billing accuracy.
- Schedule patients for upcoming appointments.
- Answer questions about insurance policies, coverage determinations, and allowable amounts for supported insurance plans.
- Stay updated on healthcare regulations and compliance requirements.
- Communicate effectively with internal and external stakeholders.
- Participate in weekly departmental meetings and training sessions.
- Comply with OSHA, HIPAA, compliance, and other applicable regulatory requirements.
- Perform other duties as specified by the leadership team and adapt to changes in processes.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
