Healthcare Funding Specialist (Dme Equipment)
Current-Manage transaction cycle time (TCT) from Ready to Process to, Funding Approval, ensuring timeliness of process and quality of funding approval.-Gather, review documentation, and ensures all information is correct for funding package, including but not limited to proper prescriptions, Letters of Medical Necessity -(LMN), RTS evaluation information, price lists, forms (AOB, ABN, rent or purchase letter), client benefits and coverage. -Communicate regularly with Physicians, Therapists, RTSs, and Clients to secure documentation as required by payer and notifying them of financial responsibility. -Follows up with payer sources to obtain timely authorization, by properly working the Funding Work Queue as well as investigating and updates any payer requirements and claim denial/appeals. -Requests and obtains proper approval for work order credit exceptions. -Conducts pre-purchase quality assurance and pre-delivery verification. -Work the Missing Information Request (MIR) to address corrections rectify errors.