Primary City/State:Arizona, ArizonaDepartment Name:Admin-HMEWork Shift:DayJob Category:Administrative ServicesYou have a place in the health care industry. If you’re looking to leverage your abilities to make a real difference – and real change in the health care industry – you belong at Banner Health. Apply today.Banner Home Medical Equipment is one of the top providers in Maricopa County and Pima County. Services we provide are Respiratory, Sleep and Ventilation services, Photo Therapy, Negative Wound Pressure Therapy, Orthotic and Prosthetics, Durable Medical Equipment, Enteral Nutrition, Ostomy, and Wound Care Supplies. We service over 100,000 customers each year and anticipate additional growth in the coming year. We are accredited by The Compliance Team and have consistently achieved three year certifications for all lines of service. We are excited to announce the impending opening of a new PAP clinic for Banner Home Medical Equipment in Central Phoenix. Join a fast growing post-acute services agency in AZ!As a Customer Care Specialist with Banner Home Medical Equipment (HME) , you will be working in a centralized call center team environment working remotely . You will be responsible for reviewing the incoming faxes-IDR and HME orders by reviewing each electronic fax, determining if we accept the insurance/product prior to start the intake process. You will also help with our IVR (Insurance Verification process, checking payer sites for eligibility and verifying customers insurance). The schedule is Monday - Friday, 9:00am-5:30pmPOSITION SUMMARYThis position is responsible for providing customers and referrals support and information to support orders and request. This position is responsible for accurate and thorough processing of order request through verification while meeting time sensitive expectations.CORE FUNCTIONS
Handles incoming requests for referrals for new orders and refills. Receives and verifies requests and referrals, initiates insurance verification and gathers all information necessary for pre-certifications, authorizations, and certificates of medical necessity. Provides on-going follow-up of requests up to, and following, patient discharge.
Builds equipment order using information in patient medical record to coordinate patient services. Ability to review and offer alternate product support and suggestions to improve patient care and quality outcomes.
Provides verbal and written instructions to patients, families, and coordinating resources regarding provision of products and services, reimbursement and patient financial responsibility.
Performs data entry of patient intake information into computer system and records insurance information and authorization requirements and notes in the computer system.
Coordinates delivery of requested services and referrals as appropriate. Coordinates with dispatch, warehouse and clinical staff to ensure product availability and sets delivery expectations with patients and providers.
Facilitates problem solving with patients, hospitals, providers, referral sources, insurance companies, and clinical staff. Assists in the maintenance and communication of changing payer and referral source information specific to coordination of patient needs.
Incumbents in this position have extensive interaction with internal departments and external sources to coordinate patient services. Must be familiar with products and services offered in the surrounding community as well as within the company. The position does not develop or manage a budget.
MINIMUM QUALIFICATIONSHigh school diploma/GED or equivalent working knowledge. Requires literacy and basic math skills.Must have a working knowledge of medical terminology and have familiarity with hospital operations. Must possess excellent organizational and interpersonal skills.Must be proficient with commonly use office software products and possess the ability to learn new software applications.PREFERRED QUALIFICATIONSPrevious experience in a healthcare setting preferred.Additional related education and/or experience preferred.EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)Our organization supports a drug-free work environment.Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)EOE/Female/Minority/Disability/VeteransBanner Health supports a drug-free work environment.Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability