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Middleton

    Patient Support Specialist - Middleton, WI, United States - Chartwell Midwest

    Chartwell Midwest
    Chartwell Midwest Middleton, WI, United States

    2 weeks ago

    Default job background
    Healthcare
    Description

    POSITION SUMMARY
    The duties of the Patient Support Specialist are similar to those of the Patient Support Representative

    as outlined in this position summary. They differ in that the Specialist works in areas of HME with a

    higher degree of complexity (e.g. Complex RT, General HME). The Patient Support Specialist is

    responsible for the collection of demographic and financial information from patients to ensure a

    smooth onboarding to services provided by UW Health Care Direct. This job has the responsibility for

    the verification of patient eligibility for insurance benefits, including but not limited to, Medicare,

    Medical Assistance, and numerous third-party payers to ensure adequate and timely reimbursement.

    The Patient Support Representative is responsible for setting expectations and providing responsive

    communication to patients, providers and other internal and external stakeholders regarding the status

    of their order. Creation and management of sales orders in Brightree is also a core responsibility.


    JOB REQUIREMENTS

    Licenses:
    N/A


    Education:
    High school diploma or equivalent required

    Experience:
    Customer service experience required

    Minimum of three years of experience in healthcare required

    Experience with home medical equipment preferred

    Miscellaneous:
    Ability to learn and competently work with coworkers, referral sources and patients required.

    Must have the ability to learn and work with computer programs such as Health Link (Epic) and Brightree.

    Proficient in medical terminology and abbreviations.


    TECHNICAL RESPONSIBILITIES

    • Complete, accurate, and timely verification and entry of all patient demographics
    • Obtain and review clinical documentation to ensure insurance guidelines are met for the
    equipment or supplies ordered


    • Obtain purchase and initial rental prior authorizations
    • Convey insurance benefits and out of pocket costs to the patient
    • Complete accurate and timely sales order entry of the item(s) requested
    • Responsible for answering incoming phone calls regarding a multitude of questions or concerns,
    working to establish a positive rapport and meet the needs of every caller


    • Responsible to returning patient and provider phone calls, helping assist in getting the patient
    qualified for needed equipment


    • Schedule appointments for setup and delivery or pickup of equipment.
    • Responsible for timely follow up of all tasks, this will include a variety of sales order related issues,
    CMNs, prior authorizations, patient questions, etc.


    • Manage inbound faxes/referrals, including the UW In Basket and email
    • Provides basic team related training to new staff and peers
    • Performs other duties as assigned


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