What are the responsibilities and job description for the Lead DME Coordinator position at Mercy Health BSMH?
Primary Function/General Purpose of Position
The DME Technician is responsible for ensuring that patients receive proper medical equipment according to physician/provider guidelines. The Durable Medical Equipment (DME) Coordinator is responsible for all matters related to and concerning DME within the clinics. Including, but not limited to, fitting, refitting, custom measurement, patient education, financial counseling, prior authorization, and patient satisfaction. Acts as a liaison between staff, physicians, and leadership.
Essential Job Functions
- Performs patient DME disbursement in various clinics. Properly measures patients and chooses prescribed brace from inventory. Demonstrates proper application and use of products and conveys this clearly to the patient.
- Based on knowledge of products, suggests products based on provider’s goals for patient treatment. This includes all office inventory of ‘off-the-shelf’ products and possible available custom fabricated products when necessary.
- Explains insurance billing or cash collection process to a patient during encounter.
- Reviews DME WQs claims to verify all documentation meets guidelines. Obtain patient’s benefits for patient encounter. Initiates and completes prior authorization process when necessary. Brings outstanding issues to providers, leadership.
- Tracks, reviews, and reports DME revenue, to leadership.
- To ensure compliance, checks same/similar and issues ABN as appropriate.
- Maintains an accurate site inventory by reviewing inventory for (clinical, print center, office supply & janitorial) PAR levels and orders stock, and stocks received inventory.
- Maintains all Pharmacy PAR levels as well a checks and monitors expirations/logs for all clinical administered medications.
- Trains and provides oversight at different locations to verify products are being applied to patients within manufacturer and safety guidelines.
- Forwards all invoices for payment once confirmation of product is received.
- Follows up with any patient questions/concerns about DME products and billing issues.
- Reviews products, introduces them to providers, and follows process to add them to Epic preference list and educate staff.
Certifications
Needs to have a current American Society of Orthopedic Professionals (ASOP) Registered Orthopedic Technician (ROT) Certification; Or Certified Medical Assistant (CMA); American Association of Medical Assisting, Registered Medical Assistant (RMA); American Medical
BLS Basic Life Support (preferred upon hire, required within 30 days for BSMH, required at hire RSFH)
Education
High school diploma or equivalent (required
Work Experience
Previous clinical experience in an equivalent setting (preferred)
Training
Language
Patient Population - Mark selections with an "X":
The following must be included in all position descriptions that involve direct or indirect patient care. This is a Joint Commission requirement. Also, select the age of the patient population served:
x Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.
Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.
Neonates (0-4 weeks)
Infant (1-12 months)
Pediatrics (1-12 years)
x Adolescents (13-17 years)
x Adults (18-64 years)
x Geriatrics (65 years and older)
Not applicable to this position
Working Conditions - Mark selections with an "X":
This section addresses the physical environment in which the employee will perform the work. Please identify ALL working conditions that apply to the role.
x Periods of high stress and fluctuating workloads may occur.
Long-distance or air travel as needed- not to exceed 10% travel.
x General office environment.
May be exposed to high noise levels and bright lights.
May be exposed to physical altercations and verbal abuse.
x May be exposed to limited hazardous substances or body fluids.*
May be required to use physical restraints.
x May be exposed to human blood and other potentially infectious materials.*
May be exposed to adverse weather conditions; cold, hot, dust, wind, etc.
x May have periods of constant interruptions.
Required to car travel to off-site locations, occasionally in adverse weather conditions.
x Prolonged periods of working alone.
____ Other:
____ Not applicable to this position
* Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.
Physical Requirements - Mark selections with an "X":
This section addresses the physical demands and work position of the associate in the role. Please identify the frequencies for ALL physical requirements for each physical demand and work position below.
Physical Demands
Frequency 0% 1-33% 34-66% 67-100%
Lifting/ Carrying (0-50 lbs.) x
Lifting/ Carrying (50-100 lbs.) x
Push/ Pull (0-50 lbs.) x
Push/ Pull (50-100 lbs.) X
Stoop, Kneel X
Crawling x
Climbing x
Balance x
Bending x
Work Position
Frequency 0% 1-33% 34-66% 67-100%
Sitting x
Walking x
Standing x
Additional Physical Requirements/Hazards - Mark selections with an "X":
This section addresses the additional physical requirements/hazards on the associate in the role. Please identify ALL additional physical requirements/hazards.
Physical Requirements - Select if a physical requirement for this job.
Manual dexterity (eye/hand coordination)
Perform shift work
Maneuver weight of patients
X Hear alarms/telephone/audio recordings
x Reach above shoulder
x Repetitive arm/hand movements
Finger Dexterity
x Color Vision
Acuity – far
Acuity – near
____ Not applicable to this position
Hazards - Select if a potential hazard for this job.
Depth perception
Use of Latex products
Exposure to toxic/caustic/chemicals/detergents
x Exposure to moving mechanical parts
Exposure to dust/fumes
Exposure to potential electrical shock
X Exposure to x ray/electromagnetic energy
Exposure to high pitched noises
Gaseous risk exposure
Other:
__x__ Not applicable to this position
Skills
Skills are demonstrable attributes required for competent and proficient performance of work activities within a job (with or without reasonable accommodation). These are “need to have”, not “nice to have”, attributes that a candidate must possess. If you think a skill is something that you will train to, it's NOT a "need to have". Skills should be written with concise, impactful phrasing. Please include both the “hard”/functional/clinical skills and the “soft”/personal/interpersonal skills.
Aim for around 10 soft skills and 10 hard skills. The skills are critical data because Workday is building out future functionality around skills. The skills you enter here will enable the machine-matching of associate and candidate skills to job openings based on the skills you assign here to the job profile. Prioritize the specialized, unique skills that make this job different from others.
EXAMPLES: - do not limit yourself to this list - include any and all pertinent skills your feel are important.
Hard/Tech/Clinical Skills:
Monitor patient conditions during treatment
Administer non-intravenous medications
Inform medical professionals regarding patient conditions and care
Record patient medical histories
Budgeting & Financial Acumen
Evaluate employee performance
Analyzing data or information
Scheduling
Soft/Interpersonal Skills:
Attention to detail
Acceptance of authority
Critical thinking
Communication with family members
Teamwork
Conflict resolution
Active listening
Relationship building
Hard Skills:
- Provide fitting, patient education on application, use, care, and expected outcome for products as indicated by the physician instructions and manufacturer recommendations.
- Educate patients on insurance plans and provisions, financial responsibility, and collection of patient portions.
- Ensure all necessary documentation and authorization is obtained as it relates to payer requirements.
- Track, maintain, and order inventory for one or multiple locations.
- Actively promote and foster excellent relations inter-departmentally and with external case managers, payers, suppliers, physician clinical staff and surgery personnel.
- Ensure compliance is maintained by documenting custom measurements, ABN’s, MAE’s and LMN’s as needed.
- Ability to work with a team of DMEPOS Coordinators and Billing Specialists.
- Posts DME charges.
- Train employees on DME process and procedures
- Cleaning/stocking
- Ensure blood borne pathogen, Occupational Safety and Health Administration (OSHA) requirements and other governmental regulations are adhered to.
- Ensure all safety regulations are adhered to.
Soft Skills:
- Operate within the concept of patient focused care
- Deliver caring timely service with positive body language
- Responds promptly to patient needs and requests
- Greet patients at every stage of the visit
- Responds promptly to Physician and team member requests and inquiries
- Participates as an active, positive member of the team
- Behavior and decision-making should be aligned with the ministry’s core values
- Excellent oral, active listening and written communication skills
- Strong customer service, interpersonal, and organizational skills
- Strong organizational skills with great attention to detail
- Ability to handle multiple priorities and tasks
- Willingness to learn technical product and clinical competency
Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more
*Benefits offerings vary according to employment status
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com
