Eligibility and Benefit Coordinator - HYBRID

Eligibility and Benefits Coordinator – Job Description

This position is Hybrid 3x per week in our Shrewsbury or Dartmouth office

About Reliable Respiratory

Reliable Respiratory is a Durable Medical Equipment (DME) company that provides the highest quality level of service for patients in need of respiratory, diabetes, urology, and maternity support. Equipment provided includes, CPAPs, BiPAPs, AutoPAPs, nebulizers, oxygen equipment, ventilators, CGM devices, insulin pumps, and breast pumps.

Each patient is treated with professionalism, understanding, and attentive service. We care about our customers, work closely with the medical community, and have highly skilled staff ready to assist customers in receiving the best care possible.

Job Purpose

The Eligibility and Verification Coordinator is responsible for receiving orders from referring physicians, entering this information into Reliable Respiratory’s electronic health record system, and obtaining authorizations from insurance companies to provide equipment to customers. This position will focus on the Diabetes product line.

EEO-1 Job Classification – Administrative Support Workers

Duties and Responsibilities

• Verify insurances online or by phone and document coverage in Reliable Respiratory’s electronic health records
• Work closely with manager to determine eligibility and benefits for all insurances
• Create and maintain a step-by-step process document to verify in-network insurances for billable HCPC and procedure codes
• Handle incoming communications from customers and referrers in a timely, professional, and friendly manner
• Obtain all necessary insurance authorizations
• Comply with all policies and procedures established by the company and the company's regulatory bodies
• Other tasks and duties as required

Basic Qualifications

• Must be eligible to work in the United States and not require work authorization from us now or in the future
• 18 years of age or older
• At least 1 year of DME experience preferred
• High School diploma or equivalent required

Required Skills

• Effective and professional verbal and written communication abilities
• Professional computer experience (especially Microsoft Office Suite)
• Ability to work independently to investigate and make decisions
• Ability to prioritize and complete work amidst interruptions in a busy work area
• Ability to comply with guidelines both internal and industry-imposed
• Ability to reconcile multiple shifting logistical factors for each appointment

• Strong attention to detail
• Great customer service skills
• Bilingual in English and Spanish preferred

Competencies

• Computer Skills
• Customer Service
• Product expertise
• Productivity
• Sense of urgency

Work Environment & Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to communicate and convey information with the appropriate parties. The job requires assuming a stationary position for long periods of time
• This role routinely uses standard office equipment such as computers, phones, and printers/scanners

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

• This job operates in a professional office environment
• The noise level in the work environment is usually moderate to loud

Direct Reports – None

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.