Durable Medical Equipment (DME) Advocate

CHS•Greenville, SC

15h•Remote

About The Position

Durable Medical Equipment (DME) Advocate Remote position for South Carolina Residents Only! Position Summary: The Durable Medical Equipment Advocate is a non-clinical position that assists the clinical Care Coordinator (CC) staff in supporting members with chronic clinical conditions for the Medically Complex Children’s Waiver (MCCW) program in South Carolina.

Requirements

Strong organizational and interpersonal skills
Excellent written and verbal communication skills
Detail oriented
Ability to multi-task and work independently
Strong competency in Microsoft Office products including Word and Excel
Demonstrates exceptional customer service skills
A high school diploma or equivalent is required
A minimum of two (2) years of work experience in a medical office setting
Knowledge of medical terminology is required
Demonstrates strong data management skills, including organizing, maintaining, and retrieving information efficiently
Strong customer service/telephone skills
Ability to multi-task and work independently while exercising initiative, problem-solving, and decision-making capabilities
Proficiency using software programs such as Microsoft Word, Excel, Outlook, and Adobe
Criminal background, OIG, and South Carolina Exclusion list checks must remain in good standing.
Will abide by the Ethical Code of Conduct set forth by the company, to be reviewed and signed yearly.
You will be required to complete HIPAA training upon hire and annually thereafter.

Nice To Haves

Prior DME experience preferred but not required
Knowledge of Medicaid guidelines and processes preferred

Responsibilities

Documents information into the SCDHHS electronic health record for all contacts with members and/or their authorized representative, doctors’ office staff, or other stakeholders
Act as a liaison between other employees, providers, and participant families.
Accurately log DME information for tracking purposes on internal databases.
Communicate with members and their authorized representatives, to ensure information is up to date.
Conduct research and initiate outreach to members, authorized representatives, DME providers, physicians, and other stakeholders to coordinate care, schedule services, process orders, and gather all necessary information to assist with requested DME needs.
Consistently follows up with all stakeholders until final resolution is achieved.
Collaborates with external partners, Care Coordinators, and Care Advocates to deliver exceptional service to participants and their authorized representatives.
Accurately prepares and maintains referral, denial, cost sheet, and any other supporting documentation for DME orders.
Monitors participants eligibility status
Receives information regarding participant via facsimile, telephone, email, and text message.
Will have access and manage PHI in accordance with federal and state requirements (HIPAA, HITECH).