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Funding Specialist (Processor)

Company: National Seating & Mobility
Location: Anaheim
Posted on: May 3, 2021

Job Description:

Company Description:At all levels, working at National Seating & Mobility provides the opportunity to directly impact our client's lives by giving them self-reliance and independence. Our teams are comprised of passionate individuals, dedicated to providing the best care to each client. We focus on abilities by leveraging technology and creating mobility solutions that are as unique as our client's needs.Working at National Seating & Mobility is an opportunity to build a meaningful career, while leaving a lasting impact on the lives of those we serve. Located in more than 40 states, we strive for diversity and offer an array of benefits including 401k, company paid Long Term Disability and tuition reimbursement.We are looking to grow our enthusiastic and engaged team at NSM. Submit your resume and join a group of enthusiastic professionals dedicated to changing lives.Duties and Responsibilities / Essential Functions:Manages transaction cycle time (TCT) from Ready to Process to Funding Approval, making certain that all necessary steps are taken in the appropriate order ensuring timeliness of process and quality of funding approval.Ensure all client information (Minimum Documentation Requirement) is correct and is put into the work order.Verifies client benefits and coverage and communicates benefit information to client.Gathers and reviews documentation 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).Communicates regularly with Physicians, Therapists, RTSs, and Clients in an effort to secure documentation as required by payer.Investigates and updates any payer requirements.Maintains communication with client throughout the process when applicable, including notifying them of financial responsibility.Follows up with payer sources in order to obtain timely authorization, by properly working the Funding Work Queue.Requests and obtains proper approval for work order credit exceptions.Conducts pre-purchase quality assurance to ensure all approvals and requirements are met prior to purchase of equipment.Conducts pre-delivery verification to ensure all approvals and requirements are met prior to delivery of equipment.Posts deliveries daily upon verification of proper documentation.Works the Missing Information Request (MIR) and Front End Adjustment (FEA) reports weekly at minimum to address corrections and future errors.Performs any related job duties assigned by the Area Funding Director or Funding Supervisor. Carries out all position expectations in a professional manner and with minimal supervision.Responsible to complete all continuing education requirements to include assigned NSM University courses.Must maintain regular and predictable attendance.Physical Demands:The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is regularly required to sit; use hands repetitively to operate standard office equipment. The employee is frequently required to reach with hands and arms.Required Education, Experience, & Competencies:1 year experience in Complex Rehab Technology, Medical Billing, or Funding preferredHigh school diploma or G.E.D.Proficient in Microsoft Excel, Word, and OutlookThis job description in no way states or implies that these are the only duties to be performed by this employee. He/She will be required to follow any other instructions and to perform any other duties requested by his/her supervisor.# Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Keywords: National Seating & Mobility, Anaheim , Funding Specialist (Processor), Other , Anaheim, California

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