Home Medical Equipment Specialist, Retail

ThedacareAppleton, WI
Onsite

About The Position

The Home Medical Equipment Specialist, Retail provides coordination of in-person, telephonic, and electronic home medical equipment referrals including respiratory medical equipment and supplies. This role involves assessment, product selection, hands-on fitting, and education to safely meet the clinical, individualized medical equipment needs for customers and their families. The specialist ensures continuity of care with the customer, their provider, and/or referral sources within a retail store setting. The position is located at the Shawano Location, with a schedule of Monday - Friday, 8:00am - 5:00pm, and a Saturday rotation from 8:00am - 12:00pm at the Appleton Campus.

Requirements

  • Must be 18 years of age
  • Experience in any healthcare related field especially COTA, PTA, and CNA
  • American Heart Association Healthcare Provider Basic Life Support (BLS)

Nice To Haves

  • High School diploma or GED preferred

Responsibilities

  • Provides exceptional customer service either face-to-face or telephonically with customers and their family members, referrals sources, payer’s, and our internal customers to meet the customer’s home medical equipment needs.
  • Advocates, initiates, and coordinates home medical equipment referrals to meet the customer’s plan of care from the provider in an efficient and timely manner. Assesses the level of urgency of a patient need and prioritizes accordingly.
  • Assesses, gathers, and coordinates all clinical and nonclinical referrals for proper documentation, ensuring the insurance guidelines, regulatory guidelines, and qualifications are met to ensure a defect-free order and claim.
  • Responds to customer inquiries by researching documentation and insurance guidelines. Consults with insurance providers, hospitals, clinics, and other medical entities through written or verbal methods to complete a referral accurately to meet the patient’s plan of care.
  • Verifies and generates appropriate documentation along with follow-up for accuracy of patient information to ensure accurate billing and reimbursement.
  • Demonstrates and educates customers on proper fitting techniques, contraindications, wear and care issues, and financial obligations of products to ensure there is safe use of the product.
  • Promotes an appealing showroom environment in the retail stores to provide patients an exceptional customer experience.
  • Monitors and maintains accurate and adequate inventory levels to meet the needs of customers.
  • Maintains knowledge of all the medical equipment offered and builds relationships with purchasing and vendors to ensure this knowledge is always up to date.
  • Is proficient with cash handling techniques including cash, checks, and credit card functions. Performs reconciliation of the cash drawer at the end of the day and follows bank deposit procedures.
  • Analyzes data to ensure accuracy with insurance resources and guidelines, regulatory and reimbursement manual and criteria, HCPC and ICD-10 coding manuals, provider directories, and other online resources to ensure accurate billing and reimbursement.
  • Maintains proper safety measures for customer and team members including infection prevention, safe equipment usage, and body mechanics with proper lifting and positioning techniques.

Benefits

  • Lifestyle Engagement (e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support)
  • Access & Affordability (e.g. minimal or zero copays, team member cost sharing premiums, daycare)

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

No Education Listed

Number of Employees

501-1,000 employees

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