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WI-Agnesian Health Shoppe

Worker Type:

Regular

Job Summary:

Acts as a liaison between employees, providers, payers, customers, and other health care providers to obtain necessary documentation and process orders for custom mobility equipment and related equipment and supplies.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILTIES

Reviews documentation and sales orders prior to dropping to AR for accuracy and creation of a clean claim.Obtains and interprets medical documentation, compares documentation with insurance coverage criteria, and creates orders to provide custom mobility equipment and other related equipment/supplies.Verifies patient insurance eligibility and benefits and communicates financial responsibilities to patients, caregivers, and other health care providers.Performs accurate and timely data entry into operating system and processes orders for appropriate equipment and supplies to ensure for timely delivery and correct billing.Communicates with patients, employees, 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.May focus duties on other equipment/supply groups as needed. Performs other duties as assigned.

EDUCATION

High School diploma/GED or 10 years of work experience

EXPERIENCE

Three years' experience

PHYSICAL REQUIREMENTS

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.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS 

None

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

2918000116 DME FDL

Scheduled Weekly Hours:

20

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). 

Flexible Payment Options: our 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: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 

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SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.