Durable Medical Equipment Specialist
About The Position
The Durable Medical Equipment Specialist provides first-line communication with patients, referral sources, and clinicians to facilitate the ordering and delivery of durable medical equipment (DME) products, supplies, and services. The role processes patient information accurately and promptly, gathers documentation required by payer rules and compliance programs, and obtains prior authorizations when needed. The specialist communicates with patients, caregivers, and providers about DME coverage, use, and benefits, and resolves customer concerns by coordinating appropriate corrective action. The specialist enters patient and order information into computer systems, creates and verifies sale orders and delivery tickets, and helps patients select medically appropriate, cost-effective equipment. The role includes fitting products and educating patients about their application, use, care, and expected outcomes in settings such as a store, facility, or patient home. The specialist also explains insurance provisions and patient financial responsibility, provides educational and reorder resources, maintains working knowledge of billing and reimbursement guidelines, balances the cash drawer and prepares deposits, and helps keep the store clean, stocked, and sanitized. The position requires completing tasks with minimal supervision and may require after-hours on-call work.
Requirements
- High school diploma or equivalent.
- Strong knowledge of computer functions and basic Microsoft Office applications.
- Attention to detail, excellent documentation skills, and ability to follow through on tasks.
- Basic knowledge of the medical field.
- When applicable, a current valid driver's license and meeting all Sanford Health Category III driver medical guidelines.
Nice To Haves
- Prior experience in home medical equipment.
Responsibilities
- Serve as a first-line contact for patients, referral sources, and clinicians regarding DME orders and delivery.
- Receive inquiries and orders in person, by telephone, fax, and email.
- Process patient information promptly and accurately to support patient satisfaction and revenue.
- Gather documentation required by payer requirements, standard operating procedures, and compliance programs.
- Obtain prior authorizations when required by 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 and ensure accuracy of sale orders and delivery tickets.
- Educate patients about insurance plans, provisions, financial responsibility, and collection of the patient portion.
- Help patients select medically appropriate, cost-effective DME products.
- Fit products and educate patients on application, use, care, and expected outcomes in store, facility, or home settings.
- Provide resources such as customer handbooks, contact information, product manuals, reorder information, and educational materials.
- Verify delivery tickets and complete sale orders.
- Maintain working knowledge of billing, documentation, and reimbursement guidelines, including Medicare, Medicaid, other third-party, and contracted payers.
- Balance the cash drawer and prepare deposits.
- Help maintain a clean, stocked, and sanitized store.
- Complete tasks with minimal supervision and exercise independent judgment.
- Perform other duties as assigned by management.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
