Full-Time 

0800-1630

Summary:

The Durable Medical Account Specialist will play a crucial role in customer intake and resupply. The ideal candidate will be reliable, self-motivated, have exceptional customer service and administrative skills, experience in the healthcare industry, and knowledge of Medicare, Medicaid, Private Insurance and Private Pay Billing. Attention to detail and team collaboration is required to ensure accurate and proper transfer of personal healthcare information, obtainment of insurance authorizations, order processing, and fulfillment. 

Responsibilities:

· Provides superior internal and external customer experience; prioritizing communication and maintaining professionalism

· Receives and reviews durable medical equipment/home medical equipment (DME/HME) referrals and resupply requests to determine eligibility

· Verifies benefits and obtains authorization for new and existing patients

· Enters and manages personal healthcare information/medical documentation in ERM system

· Collaborates with referral sources and providers to obtain certificate of medical necessity (CMN) documents, clinical documentation, and orders

· Confirms all patient account information is accurate and complete in collaboration with billing to ensure reimbursement for supplies

· Builds sales order templates; manages and processes new, existing, and refill orders

· Provides customer/patient with product education as necessary

· Monitors and advances work in progress (WIP) states.

· Effectively communicates and collaborates with team members to drive results

· Complies with laws and regulations and upholds all compliance and accreditation standards

· Other duties as required/assigned.

Other information:

Technical Expertise:

· Answering multi-line phone system

· Knowledge of Electronic Medical Records (EMR) systems

· Knowledge of DME/HME products, services, and applicable government regulations

· Knowledge of HIPAA confidentiality requirements

· Knowledge of medical claim billing and medical terminology

· Knowledge of insurance policy and guidelines

· Strong communication skills in speaking and writing

· Organizational skills sufficient to maintain consistent accurate records

· Efficient in computer skills and Microsoft Office proficient (Outlook/Word/Excel)

· Compassion to serve and educate customers/patients

Education and Experience:

· High school or equivalent

· Proficiency in Microsoft Office required

· Healthcare experience preferred

· Brightree or Electronic Medical Records (EMR) experience a plus

· EPIC experience a plus

Full Time

FTE: 1.000000

Status: Onsite

About Akron Children's

More Than a Job. It’s loving what you do - and why you do it. Akron Children’s Hospital is ranked among the best pediatric hospitals by U.S. News & World Report, but it’s our compassionate approach to treatment that sets us apart. It’s creating special high-fives. Thinking of new ways to spark a smile. Holding hands to offer comfort. And working to get a giggle that brightens a room. The minute you walk into Akron Children’s, you can sense that people here love what they do. From visits with the Doggie Brigade, to the balloons and smiles in the halls, the sights and sounds are all about one thing: the children. We are the largest pediatric healthcare system in Northern Ohio and one of the fastest growing in the country. Akron Children’s has two hospital campuses in Northeast Ohio: one in Akron and the other in Boardman in the Mahoning Valley. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we’re making it easier for today’s busy families - regardless of where they live - to find the high-quality care they need. No matter which of our locations you choose, you’ll see that when you give the most, you get more—...support, rewards and satisfaction. CAREER OPPORTUNITIES: It’s making the most of your days. Our passion is felt every day in the way people care at every level. Whether you are working with children face-to-face, or behind the scenes supporting the care and services we deliver, you impact futures. Visit us and see why it’s more than just a place to work. It’s a family. Apply today at careers.akronchildrens.org.

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