Respiratory Specialist, Customer Service

Company: SSM Health
Location: Madison
Posted on: September 15, 2021

Job Description:

Acts as a liaison between employees, providers, payers, customers, and other health care providers to obtain necessary documentation and process orders for CPAP, BiPAP, and other respiratory equipment and supplies.

PRIMARY RESPONSIBILITIES

• Obtains and interprets medical documentation, compares documentation with insurance coverage criteria, and creates orders to provide CPAP, BiPAP and other respiratory equipment and supplies.
• Verifies patient insurance eligibility and benefits and communicates financial responsibilities to patients, caregivers, and other health care providers.
• Performs accurate and timely data entry into operating system and processes orders for appropriate equipment and supplies to ensure for timely delivery and correct billing.
• Communicates with patients, employees, caregivers, and other health care providers on status of orders.
• Collects payments from patients for coinsurance, copays, and self-pay items.
• Obtains written orders and prior authorization for appropriate equipment/supplies.
• Ensures compliance with Medicare, Medicaid and Accreditation Standards.
• May focus duties on other equipment/supply groups as needed. 
• Performs other duties as assigned.

EDUCATION

• High school diploma or equivalent

EXPERIENCE

• Two years' experience

PHYSICAL REQUIREMENTS

• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
• Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
• Frequent keyboard use/data entry.
• Occasional bending, stooping, kneeling, squatting, twisting and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
• Rare climbing.

Keywords: SSM Health, Madison , Respiratory Specialist, Customer Service, Other , Madison, Wisconsin