DME Benefits Navigator II

Kaiser Permanente Northwest; Portland (OR); On-site; USD 41,000 - 49,000; Full time

Job summary

Kaiser Permanente Northwest is seeking a DME Specialist to support the full line of durable medical equipment and services for Health Plan members. You will review referrals, coordinate deliveries, ensure compliance with regulatory guidelines, and work closely with Care Coordinators, Discharge Planners, clinicians, and vendors to provide timely, accurate equipment and education.

The role demands strong communication, attention to detail, and the ability to manage multiple tasks in a fast-paced

Qualifications

• Minimum 1 year of experience with PCs/online systems.
• Minimum 2 years of experience in a medical environment providing services to patients.
• Minimum 2 years of experience in customer service.

Responsibilities

• Coordinate and procure delivery of DME supplies and equipment.
• Review, validate and process all eligible physician/clinician referral requests including internal referrals that are faxed, emailed, voicemail, verbally over the phone, or located in EPIC, OneHealthPort.
• Determine ongoing need of authorized equipment through utilization review.
• Maintain customer satisfaction by providing fast, courteous, auditable, appropriate service and act as a liaison across departments to ensure customer satisfaction.
• Research and resolve referral discrepancies initiated by members, vendors, and claims.
• Develop and maintain positive relations interregionally and within the business community to ensure professional practices.
• Provide ongoing communication to management of necessary system maintenance for the DME system.
• Route and elevate calls to appropriate resources and/or management.
• Process member manual pay authorization requests per DME guidelines, ensuring proper receipts and timely approvals.

Skills

Customer service

Communication

Medical terminology

Problem solving

Keyboard proficiency

Education

High School Diploma or GED

Job description

Kaiser Permanente Northwest is seeking a DME Specialist to support the full line of durable medical equipment and services for Health Plan members. You will review referrals, coordinate deliveries, ensure compliance with regulatory guidelines, and work closely with Care Coordinators, Discharge Planners, clinicians, and vendors to provide timely, accurate equipment and education.

The role demands strong communication, attention to detail, and the ability to manage multiple tasks in a fast-paced