Funding Specialist II - North Region

National Seating & Mobility

About The Position

Coordinates with the Funding Manager, Funding Supervisor, Branch Manager, Rehabilitation Technology Supplier (RTS), and other office support personnel to ensure all operational procedures are completed in accordance with company policy and within expected time frames. Responsible for the complete funding transaction cycle including Coding & Pricing, gathering information and documents pertinent to the funding package, ensuring that all documentation is in place, submission to the funding sources and collecting payer decisions including authorizations, denials, and deferrals.

Requirements

2 years’ experience in Complex Rehab Technology, Medical Billing, or Funding preferred
High school diploma or G.E.D.
Proficient in Microsoft Excel, Word, and Outlook

Responsibilities

Manages transaction cycle time (TCT) from Ready to Process to Final Funding Approval, making certain that all necessary steps are taken in the appropriate order ensuring timeliness of process and quality of funding approval.
Obtains any required missing demographics and ensures that all client information (Minimum Documentation Requirement) is correct and is put into the work order.
Verifies client benefits and coverage and communicates benefit information to client.
Gathers and reviews documentation for funding package, including but not limited to: proper prescriptions, Letters of Medical Necessity (LMN), RTS evaluation information, price lists, forms (AOB, ABN, rent or purchase letter).
Communicates regularly with Physicians, Therapists, RTSs, and Clients in an effort to secure documentation as required by payer.
Communicates changes and escalations in the process and collects needed information from branch personnel, Referral sources, Physicians, Therapists, RTSs, and Clients.
Investigates and updates any payer requirements in the UPD.
Maintains communication with client throughout the process when applicable, including notifying them of financial responsibility.
Follows up with payer sources in order to obtain timely authorization, by properly working the Funding Work Queue.
Requests and obtains proper approval for work order credit exceptions.
Conducts pre-purchase quality assurance to ensure all approvals and requirements are met prior to purchase of equipment.
Conducts pre-delivery verification to ensure all approvals and requirements are met prior to delivery of equipment.
Coordinates with other funding areas and responsible for completing all tasks in the Action Required queue.
Performs any related job duties assigned by the Funding Manager or Funding Supervisor. Carries out all position expectations in a professional manner and with minimal supervision.
Responsible to complete all continuing education requirements to include assigned NSM University courses.
Must maintain regular and predictable attendance.