DME Specialist

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.