CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.
Job Details:
Advent Health Respiratory and Equipment (AHRE) is a leader in providing ventilators, oxygen, sleep apnea treatment, wound care solutions, diabetic solutions and home medical equipment. We help patients lead a more comfortable and productive life by keeping them engaged in their care and empowering them to manage their health and treatment at home. A unique joint venture partnership between Advent Health and CarepathRx, AHRE has the unique opportunity to grow significantly as we expand to serve Advent Health’s expanding footprint of facilities and services throughout Florida.
Responsibilities
Excel in Customer service
Excel in knowledge of insurance guidelines, understand and process benefits for financials
Determine all necessary documents require for proper processing (orders, clinical notes, testing etc.) to meet insurance guidelines
Request/pull additional documentation from referral EMR
Proficient in using Medicare IVR for verification needs
Collect payments from patients when required
Create case management contracts and follow up for signed copies
o Create sales order and forward to dispatch
Request/submit insurance authorization when required
Log initial DWO/CMN and authorizations
Verify/confirm contact information with patient for delivery
Maintain communication with hospital and facilities regarding order process via Careport, All Scripts, DME scripts and other communication platforms
Mentorship of new hires, (on the job training)
Perform other duties assigned by supervisor/manager
Requirements
Meets and excels at all Intake 1 Duties
Customer service skills, computer skills, knowledge of job duties of team 1, ability to multitask and prioritize, insurance knowledge
Must have minimum six months intake experience in DME industry or meet weekly KPI expectations for role
CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.