DME Customer Order Specialist - Thursday -Sunday PST Hours

High School Diploma or GED Two (2) or more years of experience with Insurance verifications Experience gathering prior authorization required documents Experience submitting/following-up prior authorizations requests to payors Direct experience using payor portals Highly accurate with pertinent information Consistently detailed oriented and thorough Advanced written and verbal communication skills, to include excellent grammar Advanced reading and comprehension abilities Advanced analytical skills and detail-oriented Advanced multi-tasking skills Advanced organizational and prioritization skills, with strong ability to meet strict deadlines Proficient typing skills Proficient with Microsoft Word, Microsoft Outlook, Adobe Acrobat, general internet research Beginner knowledge of Microsoft Excel Familiarity with PDF editing Experience with HCPCS procedure codes and ICD-10 codes (preferred)

Perform tasks and communication for intake and processing of prescriptions and/or physician work orders. Communicate with patients, health care providers, and insurance representatives to obtain prior authorizations. Discuss insurance benefits, out-of-pocket costs, deductibles, and payment methods with patients. Coordinate with sales representatives and physician offices for medical records and information. Verify patient health insurance eligibility and benefits for DME. Initiate, track, and complete prior authorization requests. Place orders for Durable Medical Equipment upon authorization. Perform data entry into medical billing software and Salesforce. Communicate with various internal and external parties regarding authorizations, claims, benefits, and orders. Answer incoming phone calls and route messages. Export/import data between software. Create forms through auto-populating data. Take detailed notes with high accuracy. Use Adobe Acrobat Pro to create and edit PDF files. Follow up with patients to confirm satisfaction. Complete and send forms/applications. Participate in on-call and off-hours coverage, including evenings and weekends. Adhere to Pledge of Confidentiality.