Customer Care Representative Home Care HME

Banner Health•Mesa, AZ

28d•$18 - $27

About The Position

Are you ready for a rewarding career that truly fits your life? At Banner Health, our team members come from all walks of life, united by a common mission: Make health care easier, so life can be better. We're seeking a dedicated professional to join our Home Medical Equipment team, where you'll play a vital role in helping patients transition seamlessly from hospital to home. In this position, you'll be qualifying hospital discharge referrals for durable medical equipment (DME) products based on insurance guidelines and processing sales orders for delivery, ensuring patients receive the essential equipment they need to manage their care comfortably at home. We're looking for candidates with a customer service background, preferably in the medical field, who are comfortable working with Microsoft 360. If changing health care for the better sounds like something you want to be part of, this is your opportunity to contribute to Banner Health's commitment to providing excellent home care equipment, supplies, and services with respect, compassion, and professionalism. Apply today and become part of a team that's making a real difference in people's lives.

Requirements

High school diploma/GED or equivalent working knowledge.
Requires literacy and basic math skills.
Must have a working knowledge of medical terminology and have familiarity with hospital operations.
Must possess excellent organizational and interpersonal skills.
Must be proficient with commonly use office software products and possess the ability to learn new software applications.

Nice To Haves

Previous experience in a healthcare setting preferred.
Additional related education and/or experience preferred.

Responsibilities

Handles incoming requests for referrals for new orders and refills. Receives and verifies requests and referrals, initiates insurance verification and gathers all information necessary for pre-certifications, authorizations, and certificates of medical necessity. Provides on-going follow-up of requests up to, and following, patient discharge.
Builds equipment order using information in patient medical record to coordinate patient services. Ability to review and offer alternate product support and suggestions to improve patient care and quality outcomes.
Provides verbal and written instructions to patients, families, and coordinating resources regarding provision of products and services, reimbursement and patient financial responsibility.
Performs data entry of patient intake information into computer system and records insurance information and authorization requirements and notes in the computer system.
Coordinates delivery of requested services and referrals as appropriate. Coordinates with dispatch, warehouse and clinical staff to ensure product availability and sets delivery expectations with patients and providers.
Facilitates problem solving with patients, hospitals, providers, referral sources, insurance companies, and clinical staff. Assists in the maintenance and communication of changing payer and referral source information specific to coordination of patient needs.
Incumbents in this position have extensive interaction with internal departments and external sources to coordinate patient services. Must be familiar with products and services offered in the surrounding community as well as within the company.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.
Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.