What are the responsibilities and job description for the DME Authorization Specialist position at Select Ortho?
What we do: Select Ortho is a rapidly growing national company that provides expertise, convenience, and reliability in the delivery and fitting of orthoses and durable medical equipment to orthopedic practices and their patients. Select Ortho leverages resources, technology, and expertise to increase net collection rates, improve compliance, and streamline supply chain in managing the DME Service Line™.
The high value we place on our employees is reflected in our competitive pay and exceptional benefits package, which includes Medical insurance (company pays 75% of the premium), Dental and Vision (company pays 100% of the premium), free life insurance, generous paid vacation time, paid sick time, paid company holidays, and more!
What we stand for: Our goal is to achieve nothing less than ecstatic customers. We do that by operating in a healthy culture of excellence and hiring employees who are happy to go the extra mile to achieve that vision. Working with purposeful energy and accountability comes naturally. Credibility always matters and small details are huge!
Are you ready to make a difference in the world? If so, read on!
Position Summary:
This is a full-time remote position. A DMEPOS Authorization Specialist requests, conducts follow-up and obtains authorizations for plans that require authorization.
The DMEPOS Authorization Specialist is responsible for ensuring positive client relationships, provides support and training on all company policies and procedures as they relate to authorization and analyzes process flow for efficiency. The position ensures HIPAA Standards are being followed at all times and recommends process improvements when necessary.
Position Duties:
- Ensures all Authorization tasks are completed on schedule: Tasks include same-day authorizations, authorizations from previous business day, and on-going follow-up to ensure authorizations are obtained in a timely manner
- Ensures department is focused on customer care for both internal and external customers
- Establishes and maintains a high functioning environment that ensures effective, efficient and
safe operation of the practice and responds to client, patient, and staff needs
- Daily, weekly, or monthly tracking and reporting
- Participation in weekly conference calls
- Tracking and organizing authorization information
- Effectively communicating outstanding authorizations with clinics and management
- Proactively seeks to improve job knowledge on all insurance updates and researches
- Changes as it pertains to authorization
- Provides ongoing training for clinic and billing staff on insurance authorization changes and updates
- Monitors and evaluates goals, driving for standardized effective solutions to existing problems
- Help with administrative assignments and projects, as needed
- Serve as the liaison to clinic and billing departments
- Keep up with compliance, coverage criteria, ICD-10 information and update all employees, as needed
- Other duties as assigned
Required Education:
- High School Degree or Equivalent
- Preferred Education
- 2 Years experience in Authorizations
Requirements:
- General knowledge of authorization process
- General knowledge of medical insurances in the area the position is being offered
- The ability to work quickly and accurately, and pay attention to detail
- Skills in answering a telephone in a pleasant and helpful manner
- Establish and maintain effective working relationships with patients, employees, and the public
- Experience with All Microsoft Office Products – proficiency with Excel and Word mandatory
Work Related Characteristics:
- Has the desire to provide excellent customer service
- Is kind and considerate towards coworkers
- Cares about the quality of work produced
- Has the ability to work independently
- Is interested in the company’s goals and actively works to help achieve them
- Believes in and embodies the behaviors outlined in the company’s Core Values
- This position has no direct supervisory responsibilities but does serve as a mentor for new DMEPOS Coordinators, Billing Specialists and other positions.
Work Environment:
The DMEPOS Authorization Specialist may occasionally interact with our Client's Billing Office. As such, professionalism and consideration for the Client’s staff are essential at all times.
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.
This is largely a sedentary role. While performing the duties of this job, the employee is regularly required to communicate effectively.
~ Select Ortho is an equal opportunity employer that places high value on diversity and inclusion in people, ideas and our collaborative culture.~
