Patient Support Specialist – Complex HME & Insurance

UW Health; Town of Middleton (WI); On-site; USD 20,664,000 - 34,440,000; Full time

Job summary

UW Health in Middleton, WI is seeking a Patient Support Specialist to help onboard patients to home medical equipment services and verify insurance benefits. The role includes collecting demographics, guiding patients and providers, and creating Brightree sales orders for timely reimbursement.

The position emphasizes accurate data entry, proactive communication with internal and external stakeholders, and support for setup, delivery, or pickup of equipment.

Qualifications

• High school diploma or equivalent required
• Customer service experience required
• Minimum of three years of experience in healthcare required
• Experience with home medical equipment preferred
• Must be able to learn and work with Health Link (Epic) and Brightree
• Proficient in medical terminology and abbreviations

Responsibilities

• Complete, accurate, and timely verification and entry of all patient demographics
• Obtain and review clinical documentation to ensure insurance guidelines are met for the equipment or supplies ordered
• Obtain purchase and initial rental prior authorizations
• Convey insurance benefits and out of pocket costs to the patient
• Complete accurate and timely sales order entry of the item(s) requested
• Responsible for answering incoming phone calls regarding a multitude of questions or concerns, working to establish a positive rapport and meet the needs of every caller
• Responsible to returning patient and provider phone calls, helping assist in getting the patient qualified for needed equipment
• Schedule appointments for setup and delivery or pickup of equipment.
• Responsible for timely follow up of all tasks, this will include a variety of sales order related issues
• Manage inbound faxes/referrals, including the UW In Basket and email
• Provides basic team related training to new staff and peers

Skills

Customer service

Healthcare experience

Communication skills

Education

High school diploma or equivalent

Tools

Health Link (Epic)

Brightree

Job description

UW Health in Middleton, WI is seeking a Patient Support Specialist to help onboard patients to home medical equipment services and verify insurance benefits. The role includes collecting demographics, guiding patients and providers, and creating Brightree sales orders for timely reimbursement.

The position emphasizes accurate data entry, proactive communication with internal and external stakeholders, and support for setup, delivery, or pickup of equipment.