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Resupply Specialist, Post Acute

SSM Health

Location Fond Du Lac, WI 54935
Department WI-Agnesian Health Shoppe
Posted 31 days ago -
Type: Part-time Permanent
Reference ID: 13882886

Description

Acts as a liaison between employees, providers, payers, customers, and other health care providers to obtain necessary documentation and process orders for resupply patients.

PRIMARY RESPONSIBILTIES

  • Obtains and interprets medical documentation, compares documentation with insurance coverage criteria, and creates orders to provide continued supplies to existing patients.
  • 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 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 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 or equivalent


EXPERIENCE

  • Two 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.

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