Lead Durable Medical Equipment Specialist

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Work Shift:
8 Hours - Day Shifts (United States of America)

Scheduled Weekly Hours:
40

Salary Range: 19.00 - 30.50

Union Position:
No

Department Details

Summary
Demonstrates an advanced knowledge of the DME industry, including the intake process, product selection, dispensing and setup, documentation, billing, compliance, and performance management. Works with team to lead in accomplishing more complex tasks and resolving day-to-day technical/procedural challenges.

Job Description

Provide first-line communication with a variety of patients, referral sources, and clinicians to facilitate ordering and delivery of durable medical equipment (DME) products, supplies, and services.

Oversee work and serve as a lead expert in complex areas, projects, and shift operations. Assume ownership and lead advanced, highly specialized and complex duties that require independent initiative and judgement. Regularly guide others in the completion of tasks to ensure timely and accurate completion. Receive inquires and orders in person, by telephone, fax, and email. Gather all necessary documentation, as it relates to payer requirements, standard operating procedures, and compliance programs. Obtain needed prior authorization for services to be provided according to payer policy. Communicate with staff, patients, caregivers, and providers regarding the coverage, use, and benefits of DME products, supplies and services. Serve as an escalation advisor by resolving more complex customer concerns, questions, and complaints by identifying problems and coordinating appropriate corrective action. Give updates to management regarding team or operational performance, work progress and quality.

Input new patient demographic and ordering information into the computer system, creating and assuring accuracy of sale orders and delivery tickets. Educate patients on insurance plans and provisions, financial responsibility, and collection of patient portion. Assist patients with product selection, recommending medically appropriate, cost-effective DME to meet the patient's needs. Provide fitting and patient education on application, use, care, and expected outcome for products as indicated by the physician instructions and manufacturer recommendations. Furnish patients with resources, including but not limited to, Customer Handbook, contact numbers, product manuals, reorder information and educational materials. Process paperwork -confirm accuracy of delivery tickets and complete the sale orders. Maintain an advanced working knowledge base regarding billing, documentation, and reimbursement guidelines/issues, including but not limited to Medicare, Medicaid, other third party and contracted payers. Balance the cash drawer and prepare deposits. Assist in maintaining a clean, stocked, and sanitized store. Independently prioritize tasks and responsibilities and monitor team results. Perform other duties as assigned by management.

Qualifications
High school diploma or equivalent. Meet continuing education requirements to maintain BOC certification.

Must have 3 years' experience working in applicable field. Strong knowledge of computer functions and basic Microsoft Office applications. Detail oriented, excellent documentation skills, and the ability to follow through to the end. Advanced knowledge of the medical field, with prior experience in home medical equipment is required.

CDME (Certified Durable Medical Equipment) certification through the BOC is required and must be maintained while in this role. When applicable, the employee must have a current valid driver's license, and must meet all medical guidelines for Sanford Health Category III drivers.

Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.