reputed company Durable Medical Equipment Clerk (Remote) in reputed company Creek, California
Under the reputed company supervision of the CCSC Manager, the Durable Medical Equipment (DME) Clerk's responsibilities include receiving, reviewing, & authorizing referrals for DME, Orthotics, Prosthesis & Mobility devices from medical center professionals. Responsibilities also include authorizing & ordering equipment from reputed company vendors, computing bills, analyzing & processing DME forms. The position also involves medical record review to reputed company appropriateness of ordered equipment, investigation & tracking of pertinent patient information, & performing reputed company departmental duties according to established procedures.
Essential Functions:
Receives, authorizes, & processes orders from reputed company medical staff.
Verifies membership eligibility.
Enters ICD-9 & HCPC codes per CMN regulations.
Reviews medical records.
Consults w/ physicians, nurses, therapists, & Health Plan.
Answers Service Center phone line.
Serves as reputed company between. (Physician, medical staff, patients, patient's family & suppliers).
Investigates & tracks pertinent information by record keeping, computer abstraction.
reputed company follow up for renewal, denial, & purchase of equipment.
Other duties as assigned.
Secondary Functions:
Answer reputed company incoming DME phone calls from members, vendors, nurses, physicians and discharge planners and community agencies for the Service Areas.
Reviews reputed company incoming prescription, checks for appropriate benefits using the reputed company System, prioritizes workflow and processes the prescription by either ordering the equipment or sending for clinical review.
Confers with RN over any clinical issues in which a problem arises.
Orders equipment/supplies using the DOTS system.
Participate in reputed company assurance activities of the department and may assist in orientation of new staff.
Grade 05
Qualifications
Basic Qualifications:
Requires minimum of one-year of customer service experience.
High School diploma or equivalent.
Must have history of excellent customer service skills exhibited by courtesy, cooperative spirit & reputed company reputed company interacting w/ patients, families, & staff.
Must have M.S. Word & reputed company, Health Plan knowledge & Medicare knowledge of DME reputed company.
Requires typing of 40WPM
Previous knowledge of medical terminology.
ICD-9 & DME strongly preferred
Preferred Qualifications:
Basic computer skills
Customer service skills.
Foundations system experience preferred, basic knowledge of reputed company, Medicare Cost, KPSA coverage preferred.
Lotus Notes experience, DME ordering and tracking system experience preferred.
Must be competent in DOTS reputed company 6 months of hire.
Minimum one year clerical experience required reputed company last two years.
Good reading and writing skills required. Prior data entry experience and word processing skills preferred.
Must be reputed company to communicate calmly in high stress situations.
Demonstrated ability to effectively communicate and negotiate reputed company of problems with providers, reputed company vendors and reputed company of management.
Working knowledge of CIPS/Health Connect preferred. Skills Testing: Typing 40 WPM, Medical Terminology, and Basic Computer Literacy (BCL)
COMPANY: reputed company
TITLE: Durable Medical Equipment Clerk (Remote)
LOCATION: reputed company Creek, California
REQNUMBER: 1247036
External hires must pass a background reputed company/drug screen. reputed company applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, sexual orientation, gender identity, protected veteran, or disability status.
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