Durable Medical Equipment (DME) Advocate

CHS•Greenville, SC

1d•Remote

About The Position

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

Requirements

DME Advocate will have extensive knowledge of durable medical equipment.
Strong Communication Skills both verbal and written.
Exceptional customer service skills and capable of working with diverse cultures and personalities.
Commitment to create an extraordinary experience with each participant’s family.
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
A high school diploma or equivalent is required.
Knowledge of medical terminology is required.
Proficiency in data entry skills
Strong customer service/telephone skills
Reliable, secure internet is required for remote and hybrid access; hotspots are not permitted for security purposes.

Nice To Haves

Previous DME experience is preferred.
A minimum of two years’ work experience as a MCCW Care Advocate or previous DME knowledge preferred.

Responsibilities

Ensures and maintains the confidentiality of all Personal Health Information collected
Accurately narrating gathered information in participants chart through Phoenix (SCDHHS software)
Manage the access to PHI in accordance with federal and state requirements for HIPAA, HITEC
Work as a liaison between other employees, providers, and participant families
Accurately log DME information for tracking purposes on master spreadsheet
Communicate with all involved parties to ensure information is up to date
Review/research charts for DME information and provider information
Prepares communication to Physicians and Providers for requested DME
Consistently follows up with DME providers to ensure all documents have been received and all information is in process for streamline processing.
Works closely with all Care Coordinators and Care Advocates to provide the best possible service to participants
Accurately prepares referral documentation to providers for DME orders
Gathers information for denials of DME to consist of denials from Kepro, private insurance, Provider cost sheet, CMN/LMN, and any other supporting documentation
Monitors participants eligibility status
Provide support to participant families with resource information for non-covered DME, which will require research and communications
Coordinate with outside referral sources for DME to assist in participant DME needs
Receives information regarding participant via facsimile, telephone, email, and text message