What are the responsibilities and job description for the DME Specialist position at HAMASPIK CHOICE INC?
Job Overview:
The Durable Medical Equipment Specialist will carry out any and all types of services authorizations requested by Assessors, Nurse Care Manager and/or the member, address grievances and assist members with coordination of medical supplies and equipment.
Essential Responsibilities:
- Obtaining all necessary documentation (i.e. prescriptions) from MD office for requested DME/supplies covered by Hamaspik, Inc
- Assisting member in obtaining DME /Supplies when Medicare is the primary insurer
- Process authorizations for requested items and ensuring timely delivery to member
- End authorizations when warranted and notify vendor
- Communication with vendors regarding members satisfaction/dissatisfaction for approved services/supplies
- Ensure that authorizations are renewed in a timely manner
- Follow up and response to identified items requiring attention
- Verify member eligibility with vendors
- Review agency policies and ensure compliance with state regulations, policies and other protocols
- Photocopies and faxes, as necessary/directed
- Timely and thorough documentation in members’ charts
- Other duties as identified as a necessary part of employee’s role
Specific Knowledge, Skills, and Abilities:
- Proficient in the use of office equipment and the computer; Microsoft Word and Excel.
- Self-directing, good organizational and interpersonal skills.
- Demonstrates good customer skills on telephone.
- Word Processing/Spread Sheets, Data Entry
Required Education, Experience, and Licenses:
- 1-year satisfactory office experience; experience in Managed Care and medical terminology desired.