Durable Medical Equipment Customer Service

lmccareers; Miami (FL); On-site; USD 32,000 - 42,000; Full time

Job summary

lmccareers is seeking a Patient Care Specialist to ensure patients receive necessary medical equipment with precision and compassion. You will verify patient and order details, confirm coverage and authorizations, and navigate our electronic system to manage orders end-to-end.

The role requires fluent English and Spanish, with responsibilities including processing new referrals, documenting information, verifying eligibility, and providing telephonic support to patients.

Qualifications

• Fluent in English and Spanish.
• Experience with patient care or medical equipment handling is a plus.

Responsibilities

• Receives and processes new referrals for DME ensuring all required information is complete and accurate.
• Documents patient information and order status in designated systems.
• Performs initial processing of orders including Ambulatory, Bathroom Aides, Hospital Beds, Wheelchairs, CPAP/Bipap, Trach/Suction setup, oxygen, Ostomy and Motorized/ Customized Wheelchairs Orders.
• Reviews patient demographics, verifies eligibility and/or authorization.
• Learns and applies Medicare guidelines.
• Keeps HIPAA standards of patient confidentiality.
• Provides telephonic support to patients and service inquiries.
• Handles service assessment calls and new patient transitions.
• Coordinates with Dispatch on ETA calls and provides updates to physicians and patients.
• Follows equipment recovery processes for pickups and when patients cannot be located.
• Rotates On-Call and Saturday rotations; rotates Holidays as needed.

Skills

Bilingual EN/ES

Job description

Be the Difference in Patient Care!

As a Patient Care Specialist, you'll play a vital role in ensuring patients receive the medical equipment they need with precision and compassion. You'll handle everything from verifying patient and order details to confirming coverage and authorizations, all while navigating our electronic system.

Essential Duties and Responsibilities:

• Receives and processes new referrals for DME ensuring all required information is complete and accurate.
• Accurately documents patient information and order status in the designated systems.
• Performs initial processing of all orders including, but not limited to Ambulatory, Bathroom Aides, Hospital Beds, Standard Wheelchairs, Cpap/Bipap, Trach/Suction setup, oxygen, Ostomy and Motorized/Customized Wheelchairs Orders.
• Reviews patient demographics, verify eligibility and/or authorization.
• Learns and implements Medicare guidelines.
• Maintains compliance with HIPAA standards of patient and confidentiality.
• Provides telephonic support to patient inquires/services calls.
• Handles all Service assessment calls.
• Handles New Patient Transitions and ensures that equipment is properly transitioned.
• Works with Dispatch on ETA Calls.
• Follows through an order from beginning to end. Provides Physician and patient with updates as needed.
• Achieves a minimum of20-25orders processed a day.
• Handles complaint calls and facilitates solutions for patients and providers.
• Follows equipment recovery processes if and when a patient needs a pick-up of equipment, or a patient cannot be located.
• RotatesOn-Callfor a week includingSaturday rotation.
• RotatesHolidaysas needed.

LANGUAGE SKILLS

Fluent in English and Spanish required.