Funding Specialist Lead - South Region

JobgetherDME and rehabilitation technology

Based in the United StatesFull-TimeLead

Salary not disclosed

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Job Details

Experience: At least 3 years of experience in Durable Medical Equipment (DME) and/or Complex Rehabilitation Technology (CRT)
Required Skills: Microsoft ExcelMicrosoft OfficeQuality Assurance

Have at least 3 years of experience in Durable Medical Equipment (DME) and/or Complex Rehabilitation Technology (CRT); Funding Specialist responsibilities are strongly preferred.
Know funding processes and insurance requirements for DME and complex rehabilitation technology, including insurance verification and reimbursement procedures.
Experience processing both repair and non-repair funding cases is preferred.
Have experience using Mobility Advisor or comparable data management and funding systems.
Demonstrate the ability to guide, coach, motivate, and develop team members in a remote environment.
Bring strong interpersonal, written, and verbal communication skills for working with clients, healthcare professionals, internal teams, and external partners.
Be organized and attentive to detail, with the ability to manage multiple cases, prioritize tasks, and meet deadlines.
Be proficient with Microsoft Office applications, including Outlook, PowerPoint, and Excel, with practical experience using spreadsheets and formulas.
Be able to interpret business reports, technical procedures, work instructions, and applicable governmental regulations.
Be able to prepare reports, business correspondence, and training materials, and present information clearly to different audiences.
Be able to work effectively from a home office while following established remote work policies and requirements.

Coordinate with funding leadership, branch managers, rehabilitation technology suppliers, and office support teams to ensure procedures are completed accurately and on time.
Monitor transaction cycle time from coding and pricing through documentation completion.
Provide funding coverage and assist with coding and pricing, submissions, authorization collection, quality assurance, and delivery verification.
Request, gather, and review prescriptions, Letters of Medical Necessity, rehabilitation technology evaluations, price lists, assignments of benefits, advance beneficiary notices, and rental or purchase letters.
Verify insurance coverage, communicate benefit and coverage details to clients, and check documentation against payer requirements and internal policies.
Communicate with referral sources, physicians, therapists, suppliers, clients, and internal teams to obtain documentation and resolve issues.
Keep clients informed, explain financial responsibilities, coordinate required payments, and guide eligible clients through hardship procedures where permitted.
Investigate funding issues, follow escalation procedures, coordinate corrective actions, and communicate process changes.
Coach and guide Funding Specialists, support training, and conduct routine audits to identify documentation errors and performance gaps.
Identify documentation best practices, investigate discrepancies in the UPD, recommend procedure updates, and report team progress and operational challenges to management.

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