“Improving the lives of those with chronic care diseases while providing solutions to our customers."Looking for a new opportunity? At Rick's Medical Supply, a SuperCare Health company, you have the chance to reach your dreams by helping us in serving the healthcare needs of our ever-growing patient population. Matching passion with careers, here hard work has never been so satisfying.Essential Duties:Under the general supervision of the Medical Necessity Supervisor, a Medical Necessity Specialist is responsible for maintaining a positive, helpful attitude and approach in providing excellent customer service to all customers which include; patients, clients, referral sources, physicians, and sales representatives in verifying benefits and coverage with the health plan, sending out and obtaining medical necessity documentations in a timely manner.Responsibilities:
Responsible for creating, sending out and/or obtaining all medical necessity documentations in a timely manner and log information in the system.
Maintains and updates all medical necessity information in the system such as patient information, payer changes, and other information to support billing process.
Communicates with physicians offices, medical groups, MSO, and health plans on a daily basis for medical necessity documentation and for the continuation of patient equipment.
Communicates to Lead or Supervisor or Manager regarding progress, updates, problems, error trends, new findings, inaccurate or untimely claim submission, and others in a timely manner.
Maintains a daily follow-up system and checks the starting & expiring dates of medical necessity documentations.
Submits appropriate documentation such as prescription, labs results, medical justification, authorization, eligibility, and others as necessary and applicable in a timely manner.
Works on Hold Revenue report, group projects, goals and renewal process.
Maintains accurate and complete daily productivity report.
Performs other duties as assigned.
Remains knowledgeable on product and insurance coverage issues in order to inform
patients of copays and other benefit information
Attends all departmental meetings, company meetings, and in-services
Reports to work daily and is ready to work at the scheduled start time
Works Saturday assignment as needed or scheduled
Performs any other duties that may be requested by supervisor or management
Understand and adheres to all of SuperCare Health company policies
To remain knowledgeable to date on all products, guidelines and insurance coverage trends
Maintain a professional safe and clean work environment.
Understand and adheres to all of SuperCare Health company policies.
Perform all other duties as assigned and required
Must meet minimum of monthly goals
Education and or Work Experience:
Experience with Medical Supply Company
Knowledge of diagnosis and Medical terminology
Excellent Customer Service skills
Detail oriented
Proficiency in Microsoft Word, Excell, Outlook, and PowerPoint
Experience in healthcare, medical and/or HME industry (preferred)
Be able to work on multiple tasks. Plan and prioritize actives to achieve results and meet deadlines
Strong organizational skills and detail oriented
Perks:
Paid Training
Sick Time
Paid Mileage
Growth Opportunities
Employee Referral Reward Program
Employee Discount Program
What Rick's Medical Supply is About"We treat our customers like family. Rick's Medical Supply, Inc. (https://www.ricksmedical.com/contactus) has been the source for medical supplies and equipment in the Roseburg, OR (https://www.ricksmedical.com/locations) area for over forty years because of our superior commitment to provide you with the absolute best in product quality and customer service. Our highly trained staff will help you make the best choices for your needs, while providing you with friendly service and expert advice. Every effort is made to ensure that your experience is as pleasant and efficient as possible. Stop by and see us! Our business is your good health."Connect With Us!Company Website https://ricksmedical.com/Company Business Hours - 8:30 AM – 5:30 PM PSTLinkedIn https://www.linkedin.com/company/rick-s-medical-supply/Facebook https://www.facebook.com/ricksmedicalsupplyAraceli Richardson - Jr. Recruiter LinkedIn (http://www.linkedin.com/in/araceli-richardson-06122835) (https://www.linkedin.com/in/cassandra-cooper-4a5aaa1a3/)
