Medical Equipment and Supply Specialist

SSM Health • Reedsburg, WI

1d • Onsite

About The Position

This role acts as a liaison between employees, providers, payers, customers, and other health care providers to obtain necessary documentation and process orders for medical equipment and supplies. Key responsibilities include obtaining and interpreting medical documentation, comparing it with insurance coverage criteria, and creating orders. The specialist will verify patient insurance eligibility and benefits, communicate financial responsibilities, and perform accurate data entry into the operating system to ensure correct delivery and billing. Communication with various stakeholders regarding order status, collection of payments, and obtaining written orders and prior authorizations are also crucial. The position requires ensuring compliance with Medicare, Medicaid, and Accreditation Standards, and working in a constant state of alertness and safety.

Requirements

• High School diploma/GED or 10 years of work experience
• Two years' experience
• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
• Frequent use of hearing and speech to share information through oral communication.
• Ability to hear alarms, malfunctioning machinery, etc.
• Frequent keyboard use/data entry.
• Occasional bending, stooping, kneeling, squatting, twisting and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
• Rare climbing.

Responsibilities

• Obtains and interprets medical documentation, compares documentation with insurance coverage criteria, and creates orders to provide medical equipment and supplies.
• Verifies patient insurance eligibility/benefits and communicates financial responsibilities to patients, caregivers, and other health care providers.
• Reviews, obtains, and logs appropriate medical documentation that supports the reimbursement of equipment/supplies.
• Performs accurate data entry into operating system and processes orders for appropriate equipment/supplies to ensure delivery and correct billing.
• Communicates with patients, employees, payers, caregivers, and other health care providers on status of orders.
• Collects payments from patients for coinsurance, copays, and self-pay items.
• Obtains written orders and prior authorization for appropriate equipment/supplies.
• Ensures compliance with Medicare, Medicaid and Accreditation Standards.
• Works in a constant state of alertness and safe manner.
• Performs other duties as assigned.

Benefits

• Comprehensive benefits package
• Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible Payment Options: voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
• Upfront Tuition Coverage: upfront tuition coverage through FlexPath Funded for eligible team members.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED