DME Technician jobs in Montana

The Customer Service Representative position is intended to be an entry point into the Home Medical Equipment industry. Are expected to provide excellent, solutions-oriented, service to all home medical equipment customers and referral sources, including in-person, telephone, and electronic communications. Develop knowledge of a variety of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) product categories including, but not limited to; continuous positive airway pressure (CPAP) devices and supplies, wheelchairs, walkers, bathroom safety equipment, urological and ostomy supplies, oxygen, braces, compression, and wound care supplies. Research patient-specific health insurance coverage criteria and communicate the coverage criteria to customers and referral sources with a focus on providing excellent customer service. Fill orders, actively listen, ask clarifying questions, and propose appropriate solutions and recommend complimentary products to help patients remain in or return to their home safely. Will work towards competency in understanding various product lines and insurance requirements for those products. Upon completion of the provisional employment period of one-year, will have completed the required education and certification courses to promote into the Customer Service Representative II position.

FLSA:

NON-EXEMPT

DUTIES AND RESPONSIBILITIES:

Develops and maintains working knowledge of current home care products and services offered by the company and all applicable insurance guidelines regarding eligibility for coverage and reimbursement.

Contact insurance companies to verify eligibility criteria, obtain prior authorizations, and all other payor specific requirements.

Provides recommendations to callers and walk-in customers regarding supplies and equipment that can be utilized to meet client's needs.

Contacts provider offices to obtain required chart documentation and complete prescription information.

Identifies and corrects account information; updates patient demographics and financial information as needed.

Answers questions from patients and family members concerning account balances.

Process patient payments.

Contact patients to coordinate care with their ordering provider.

Collect balances due from patients when appropriate according to policy and procedure.

Documents all correspondence and conversations in the patient account.

Stays informed of changes in the insurance industry including Federal guidelines for Medicare and Medicaid, including attending training sessions/webinars.

Troubleshoot basic equipment issues with patients over the phone or in person.

Receive and process referral phone calls, walk ins, and faxes.

Scan and file referral documents into electronic medical record

Perform all other duties as assigned.

Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations.

Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict.

Professional Requirements:

Adheres to dress code.

Completes annual educational requirements.

Maintains regulatory requirements.

Wears identification while on duty.

Maintains confidentiality at all times.

Attends department staff meetings as required within the department.

Reports to work on time and as scheduled; completes work in designated time.

Represents the organization in a positive and professional manner.

Actively participates in performance improvement and continuous quality improvement (CQI) activities.

Coordinates efforts in meeting regulatory compliance, federal, state and local regulations and standards

Communicates and complies with the Benefis Health System Mission, Vision and Values as well as the focus statement of the department.

Complies with Benefis Health System Organization Policies and Procedures.

Complies with Health and Safety Standards and Guidelines.

High School graduate or equivalent.

Required to complete the education and certification courses to promote into the Customer Service Representative II position after one year.

Successful completion of medical terminology courses/certification and Certified DME Specialist (CDME) certification are required within one year of hire.

Medical terminology course or certification preferred.

One year of related healthcare, customer service, call center, or insurance experience preferred.

Strong organization and communication skills required.