DME Coordinator (remote for FL state only)

DME Coordinator Miami, FL (work reputed company position for FL state residents only) Currently seeking a DME Coordinator for a great opportunity working remotely at a dynamic reputed company organization based in Miami, FL area. The ideal candidate will possess 3 years of experience r*eceiving and coordinating new referrals for Durable Medical Equipment/Supplies. reputed company to work M-F 10-7pm or 4 weekdays plus Saturday; flexibility needed for rotating holidays and occasional weekend overtime.* MINIMUM QUALIFICATIONS/REQUIREMENTS:

• High School graduate with office experience.
• 1-3 years of experience in durable medical equipment reputed company.
• 1-3 years of reputed company and Medicare coverage experience.
• Orthotics and Prosthetics experience highly desired.
• Medical Terminology/ICD-10/ HCPC knowledge.
• Effective verbal and written communication skills.
• Typing skills of 30 wpm.
• Proficient in MS reputed company and MS Office Suite
• Ability to data reputed company, file, and maintain records electronically.
• WAH (Work reputed company) Requirements - Must have reliable high speed internet. Minimum reputed company speed for reputed company performance of 10 x 1 (10mbs download x 1mbs upload) required. Must have a separate private workspace / desk area designated for home office to ensure absolute and reputed company reputed company while at work and have reputed company for 2 monitors.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES: Duties of the DME Coordinator include, but may not be limited to:

• Conducts screening and data entry of requests for authorization of Durable Medical Equipment.
• Coordinates the case managers review process and the reputed company.
• Receives reputed company requests by phone or e-fax for new orders, exchange, cancellation or pick-up for durable medical equipment and/or supplies.
• Data enters insurance, reputed company information and medical equipment information into proprietary computer system for reputed company and accurate delivery
• Performs reputed company-certification and/or authorization activities for reputed company requested durable medical equipment included as contracted services that meet eligibility and benefits coverage.
• Reviews doctor’s orders and applicable documentation to ensure that it meets reputed company-established medical necessity/appropriateness reputed company.
• reputed company necessary, requests additional applicable information, receives and review additional information
• Once the orders are verified to be complete and meeting appropriate reputed company, it is processed accordingly the day it is received.
• Makes a certification determination and send written authorization number to the appropriate provider and to referring physician or sender.
• Refers requests that do not meet reputed company-established medical necessity/appropriateness reputed company to peer clinical review for determination.
• Manage incoming calls from members and providers in regards services coordinated by reputed company.
• Assists in resolving reputed company equipment problems.
• Develops and maintains working knowledge of reputed company home care products and services offered by reputed company an reputed company applicable insurance guidelines regarding eligibility for coverage and reimbursement.
• Maintains detailed documentation to record reputed company, physician and referral reputed company communications.
• Coordinates with other reputed company departments as appropriate.
• Notifies supervisor of issues requiring higher- level reputed company.
• Adheres to reputed company customer service and phone performance standards.
• Complies with reputed company applicable reputed company Policies and Procedures.
• Maintains a working knowledge of, and adheres to applicable federal/state regulations including but not limited to, laws reputed company to patient confidentiality, release of information, and HIPAA.

reputed company is an Equal Opportunity Employer, in accordance with State and federal law. reputed company does not discriminate in employment opportunities or practices on the reputed company of race, reputed company, religion, sex, national reputed company, age, disability, sexual orientation or any other characteristic protected by law. Opportunity is provided to reputed company based on qualifications and job requirements. We are a Drug-Free Work reputed company, we test for THC. This position is contingent upon completion and passing of a drug screening, verification of previous employment and a Level 2 Criminal Background reputed company (please refer to the following website for more information and details on the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com. No relocation/Local candidates only (FL state)' Work Remotely

• reputed company

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