Durable Medical Equipment Specialist

Sanford Health•Sioux Falls, SD

About The Position

Sanford Health is seeking a Durable Medical Equipment Specialist to facilitate the ordering and delivery of durable medical equipment, supplies, and services. The role provides first-line communication with patients, referral sources, caregivers, and clinicians, and ensures patient information and order documentation are processed accurately and promptly. The specialist explains coverage and product use, helps patients select medically appropriate and cost-effective equipment, and provides fitting and education in settings that may include a store, facility, or patient home. The position also involves obtaining prior authorizations, maintaining knowledge of payer billing and reimbursement requirements, processing sale orders and delivery tickets, balancing the cash drawer and preparing deposits, and helping maintain a clean, stocked, and sanitized store. The employee works with minimum supervision and independent judgment and may be required to work after store hours in an on-call capacity.

Requirements

High school diploma or equivalent.
Strong knowledge of computer functions and basic Microsoft Office applications.
Detail oriented, with excellent documentation skills and ability to follow through to completion.
Basic knowledge of the medical field.
Current valid driver's license when applicable, and ability to meet Sanford Health Category III driver medical guidelines.

Nice To Haves

Prior experience in home medical equipment.

Responsibilities

Provide first-line communication with patients, referral sources, caregivers, and clinicians to facilitate DME orders and delivery.
Receive inquiries and orders in person, by telephone, fax, and email.
Process patient information promptly and accurately, and gather documentation required by payers, operating procedures, and compliance programs.
Obtain prior authorizations according to payer policy.
Communicate with patients, caregivers, and providers about DME coverage, use, and benefits.
Resolve customer concerns, questions, and complaints by identifying problems and coordinating corrective action.
Anticipate patient needs and respond promptly to requests.
Enter patient demographics and order information into the computer system, creating and verifying accurate sale orders and delivery tickets.
Educate patients about insurance plans, provisions, financial responsibility, and collection of the patient portion.
Assist patients in selecting medically appropriate, cost-effective DME products.
Fit products and educate patients on application, use, care, and expected outcomes in accordance with physician instructions and manufacturer recommendations.
Provide patients with resources such as customer handbooks, contact numbers, product manuals, reorder information, and educational materials.
Process paperwork, confirm delivery-ticket accuracy, and complete sale orders.
Maintain working knowledge of billing, documentation, and reimbursement guidelines for Medicare, Medicaid, other third parties, and contracted payers.
Balance the cash drawer and prepare deposits.
Help maintain a clean, stocked, and sanitized store.
Complete tasks with minimum supervision and exercise independent judgment.
Work after store hours in an on-call capacity when required.
Perform other duties as assigned by management.