Durable Medical Equipment Specialist

Good Samaritan Society; Sioux Falls, Northern (SD, KY); Hybrid; USD 23,000 - 39,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

401(k) retirement plan

Paid time off

Job summary

Sanford Health in Sioux Falls, SD, is seeking a dedicated DME Specialist to manage intake, product selection, dispensing, and education for patients and caregivers. You will coordinate with clinicians and payers to ensure timely delivery and accurate documentation.

Responsibilities include patient counseling on coverage, guidance on device use, and maintaining compliance with billing and reimbursement rules.

Qualifications

• High school diploma or equivalent.
• Strong knowledge of computer functions and basic Microsoft Office applications.
• Detail oriented with excellent documentation and follow-through.
• Basic knowledge of the medical field; prior home medical equipment experience preferred.
• Valid driver’s license and ability to meet Sanford Health driver requirements.

Responsibilities

• Assist in ordering, dispensing and setup of DME products and services.
• Communicate with patients, referral sources, and clinicians to facilitate delivery.
• Process patient information, payer requirements, and prior authorizations.
• Educate patients on insurance, products, and usage; provide fitting and education.
• Balance cash drawer and maintain store cleanliness; may work after hours.

Skills

Computer skills

Detail oriented

Documentation skills

Medical knowledge

Education

High school diploma or equivalent

Job description

Careers With Purpose

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

Facility: 12th Kiwanis
Location: Sioux Falls, SD
Address: 2710 W 12th St, Sioux Falls, SD 57104, USA
Shift: 8 Hours - Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $17.50 - $28.00

Job Summary

Must have a broad understanding of the DME industry, including the intake process, product selection, dispensing and setup, documentation, billing, compliance, and performance management. Provide first-line communication with a variety of patients, referral sources, and clinicians to facilitate ordering and delivery of durable medical equipment (DME) products, supplies and services.

Ensure all patient information is processed timely and accurately to enhance patient satisfaction and optimize revenue. Receive inquiries and orders in person, by telephone, fax, and email. Gather all necessary documentation, as it relates to payer requirements, standard operating procedures, and compliance programs. Obtain any needed prior authorizations for services to be provided according to payer policy. Communicate with patients, caregivers, and providers regarding the coverage, use, and benefits of DME products, supplies and services. Resolve customer concerns, questions, and complaints by identifying problems and coordinating appropriate corrective action. Anticipate patient needs and respond quickly to patient requests.

Input new patient demographics and ordering information into the computer system, creating and assuring accuracy of sale orders and delivery tickets. Educate patients on insurance plans and provisions, financial responsibility, and collection of patient portion. Assist patients with product selection, recommending medically appropriate, cost-effective DME to meet the patient's needs. Provide fitting and patient education on application, use, care and expected outcome for products as indicated by the physician instructions and manufacturer recommendations. This patient education will happen in a variety of patient settings including store, facility, or patient home. Furnish patients with resources, including but not limited to, Customer Handbook, contact numbers, product manuals, reorder information, and educational materials. Process paperwork –confirm accuracy of delivery tickets and complete the sale orders.

Maintain a working knowledge base regarding billing, documentation, and reimbursement guidelines/issues, including but not limited to Medicare, Medicaid, other third party, and contracted payers. Balance the cash drawer and prepares deposits. Assist in maintaining a clean, stocked, and sanitized store. Complete tasks with minimum supervision, exercising independent judgment. May be required to work after store hours in an on-call capacity. Perform other duties as assigned by management.

Qualifications

High school diploma or equivalent.

Strong knowledge of computer functions and basic Microsoft Office applications. Detail oriented, excellent documentation skills, and the ability to follow through to the end. Basic knowledge of the medical field, with prior experience in home medical equipment preferred.

When applicable, the employee must have a current valid driver’s license, and must meet all medical guidelines for Sanford Health Category III drivers.

Benefits

Sanford offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to [e-mail] .

Sanford has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Req Number: R-0277054
Job Function: Facilities and General Services
Featured: No