HME Assistant at Med Center Health – Bowling Green, Kentucky
Med Center Health
Bowling Green, Kentucky, 42101, United States
Posted on
Updated on
Job Function:Admin/Clerical/Secretarial
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About This Position
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Position Summary
- Receives Home Medical Equipment orders from physicians, hospitals and other medical offices. Processes necessary paperwork including verification of insurance benefits, prior authorization with case manager regarding patient needs, diagnosis and prognosis relating to HME ordered. Completes order entry process for product delivery including verifying coverage criteria by comparing physician notes and reviewing insurance guidelines. Completes patient paperwork after HME Equipment Technician delivery which includes finalizing order for billing, preparing and sending and receiving CMNs to physician office. Assists customers with retail sales as well as insurance orders.
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Minimum Qualifications
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Work Experience
- Two years of progressively responsible medical or clerical experience required.
- Previous healthcare, HME, and/or customer service experience preferred.
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Education- Associate’s degree or vocational training in related field preferred.
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Certifications/Licensure- None required.
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Work Experience
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Job Specific Performance Standards
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The duties listed below are a summary of the major essential functions of this position. The position may require other duties, both major and minor, that are not mentioned, and specific functions may change from time to time.
- Develops and maintains patient chart filing system for department to include physicians’ verbal orders, CMNs for claim processing, plan of care, patient safety check offs, insurance verification, intake forms, prior authorizations and other paperwork needed for HME services.
- Assists Senior Equipment Technician as well as other staff in coordinating orders/deliveries for patients to facilitate timely delivery of equipment and/or supplies.
- Orders and monitors office supplies and forms.
- Answers incoming phone calls, customers, and other health care professionals related to HME departmental needs. Determines nature of call/visit and provides appropriate response, guidance which could include reviewing physician notes, patient diagnosis and insurance coverage criteria for equipment or supplies ordered.
- Maintains showroom for HME department. Assists with their needs, explains equipment and supplies, reviews coverage criteria of equipment and/or supplies, completes necessary follow up with physicians to meet patients’ needs.
- Assists HME Director, Respiratory Therapist, CFR staff and Technicians in maintaining compliance with Joint Commission Standards as well as Kentucky Pharmacy Board licensure. Reviews charts and medical information to assure compliance with standards and requirements for Medicare, Medicaid and private insurance claims. Obtains prior insurance authorization from patient payer which may include benefit verification, patient medical history and HCPCS code reviewing for appropriate coverage determination. Assures compliance with guidelines on payment and prior equipment authorization. Processes necessary forms for proper reimbursement.
- Manages the preparation, processing and pending list of certifications, re-certifications and on-going prior Authorizations needed for medical equipment and supplies. Maintains manuals for insurance payers, price lists and other printed information regarding coverage criteria as updated.
- Corrects charts as needed. Completes chart and on-going paperwork filing. Assists in scanning patient information. Assists with confirmations of orders as directed by the Senior HME Assistant and/or Director.
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The duties listed below are a summary of the major essential functions of this position. The position may require other duties, both major and minor, that are not mentioned, and specific functions may change from time to time.
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Job Location
Bowling Green, Kentucky, 42101, United States
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