Intake Durable Medical Equipment Specialist

Sanford Health•Fargo, ND

8d•$16 - $26

About The Position

The Intake Durable Medical Equipment Specialist provides first-line communication with patients, referral sources, and clinicians to support the ordering and delivery of durable medical equipment (DME) products, supplies, and services. The role processes patient information accurately and promptly to support patient satisfaction and revenue, gathers documentation required by payer rules and compliance procedures, and coordinates with Equip clinical staff and referral sources to address documentation deficiencies. The specialist enters and maintains patient account information, obtains and verifies medical records, insurance, prior authorizations, and prescriptions, and notifies clinical staff when intake is complete. The position maintains knowledge of billing, documentation, and reimbursement guidelines and may schedule patient appointments and make follow-up calls, depending on the department. Work is performed with minimum supervision and requires independent judgment.

Requirements

High school diploma or equivalent.
Strong knowledge of computer functions and basic Microsoft Office applications.
Detail-oriented, with excellent documentation skills and the ability to follow through to completion.
Basic knowledge of the medical field.

Nice To Haves

Prior experience in home medical equipment is helpful.

Responsibilities

Provide first-line communication with patients, referral sources, and clinicians to facilitate ordering and delivery of DME products, supplies, and services.
Receive inquiries and orders by telephone, fax, and email.
Process patient information accurately and promptly.
Gather documentation required by payer requirements, standard operating procedures, and compliance programs.
Communicate documentation deficiencies to Equip clinical staff and referral sources, and request needed documentation through agreed communication methods.
Resolve customer concerns, questions, and complaints about sale orders, or refer unresolved complaints to Equip clinical staff.
Anticipate patient needs and complete intake promptly to support timely equipment setup or supply delivery.
Create new patient accounts in the Equip computer system and accurately enter demographic, ordering physician, and insurance information.
Obtain medical records supporting physician orders, verify insurance, obtain and log prior authorizations and prescriptions, and initiate an ABN as needed.
Record intake information in the Equip patient account and notify clinical staff when intake is complete and the patient is ready for setup.
Maintain working knowledge of billing, documentation, and reimbursement guidelines, including those for Medicare, Medicaid, other third-party payers, and contracted payers.
Depending on department assignment, set up patient appointments and make follow-up calls to patients.
Complete tasks with minimum supervision and exercise independent judgment.
Perform other duties as assigned by management.