Jobs · OTHR · Ohio

DME Intake Specialist

Cleveland Clinic · Independence, OH · 1 mo ago
On-siteOTHR$16.47/hrFull-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title. Must not include Job ID etc. Must preserve all substantive info. Remove boilerplate. Use

for headings. Use
  • for any list of duties/requirements/benefits. Use

    for prose. We need to parse the posting. Content: - Intro: Cleveland Clinic’s Business Operations Center serves as a key hub for our Home Care and Hospice operations as well as many administrative and support teams. This collaborative workplace supports a wide range of caregivers, clinical professionals, and operational teams. While many positions are based within the center, numerous home-visiting roles—including case managers, nurses, and therapists—travel throughout the Greater Cleveland and Akron/Canton areas to deliver exceptional care directly to patients in their homes. Supports Cleveland Clinic’s respiratory therapy department by managing a wide range of providers and patient requests including new referrals, orders, supplies, billing, and broad questions. Always represents Cleveland Clinic in a professional, caring, and helpful manner A caregiver in this position works Monday through Friday, 8:30am to 5:00pm. That's about the role and schedule. - Then bullet list of duties: "A caregiver who excels in this role will:" followed by many bullet-like sentences. We need to extract duties as list items. List: - Demonstrate exceptional customer service based upon the expected service behaviors included in Cleveland Clinic’s START with Heart model. - Answer high volume of calls from referral sources and patients, documenting steps taken to successfully manage the call. - Professionally investigates, triages, and resolves patient issues, using the established HEART model. - Follow standards and guidelines for telephone etiquette and service when interacting with patients and providers over the phone. - Meet department productivity standards including the number of calls answered, while also assuring the highest level of customer service. - Proactively reaches out to leadership when additional support is needed. - Perform all tasks related to the order intake process including, but not limited to, patient registration, insurance verification, scheduling, and ordering supplies according to department standards and guidelines ensuring accuracy and an outstanding patient experience. - Review insurance policies, and reviews and interprets clinical notes, clinical testing & procedures prior to ordering DME to assure order is appropriate per insurance guidelines. - Recommend appropriate respiratory supplies that will be compatible with the patient’s current equipment. - Assure prescriptions are received at time of initial referral with all necessary information to qualify for insurance reimbursement. - Verify warranty times on respiratory therapy equipment at patient’s start of care. - Assure we submit claims within the warranty period to prevent controllable loss. - Coordinate discharge between referral sources and field staff - Educate on DME order requirements with referring providers - Enter and maintain confidential and accurate patient information including patient insurance, billing, and payment information. - Work closely with the Finance department on insurance and billing questions. - Clear previous day’s routes and checks all paperwork for accuracy and completeness. - Encourage patient utilization of front-end technology (EMR), and provide related guidance, education, and technical assistance. - Support and participate in process improvement efforts. - Collaborate with Case Managers and Liaisons to coordinate and arrange required DME services for discharge promptly. - Monitor and prioritize hospital discharges to optimize care coordination and identify elevated risk patients. - May participate on committees and have a role in other Institute initiatives. Then Minimum qualifications: - High School Diploma or GED. - Minimum two years of patient registration, appointment scheduling, insurance processing, customer service, or DME equipment/supply/purchasing experience OR Associate’s degree may substitute for one year of experience OR Bachelor’s degree may substitute for the experience requirement. - Knowledge of current products and services, as well as Medicare and Medicaid insurance regulations. - Understanding of FDA/DOT and JCAHO guidelines. - Knowledge of PC window applications sufficient to input and retrieve data. - Excellent communication and organizational skills are essential to successfully communicate with a diverse patient population and workforce. - Can work independently with minimal supervision in a fast-paced environment. Preferred qualifications: - Knowledge of medical terminology and DME. - Can type a minimum of 30 words per minute (assessed at time of application) or demonstrate personal computer keyboard skills - Previous experience in DME industry Physical Requirements: - Dexterity sufficient to operate a PC and other office equipment. - Requires extended periods of standing, walking or sitting. - Good visual acuity through normal or corrected vision. - Must be able to function in a fast-paced environment. - Ability to lift and transport up to 25 pounds Personal Protective Equipment: - Follows Standard Precautions using personal protective equipment as required. Keywords: PSS, patient service specialist, customer service, patient access, durable medical equipment, RT, respiratory therapy, equipment specialist, DME Pay Range Minimum hourly: $16.47 Maximum hourly: $23.61 The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate’s actual compensation will be determined after taking factors into consideration such as the candidate’s work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic’s benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.). We need sections: About the role (intro), Responsibilities (list of duties), Requirements (minimum qualifications?), Qualifications (maybe preferred?), Skills (maybe communication/organizational etc?), Benefits (none given? The posting mentions benefits package but not specifics; we should not create Benefits section unless specific content. It says "does not include the value of Cleveland Clinic’s benefits package" but no details. So we should not create Benefits section. Pay: we have pay range specifics. So include Pay section. Schedule: we have Monday-Friday 8:30am-5:00pm. So include Schedule. We need to avoid filler like "commensurate with experience". Not present. We need to ensure we don't repeat job title. We need to output only HTML fragment. Structure:

    About the role

    ... intro ...

    Responsibilities

    • ... each duty ...

    Requirements

    • ... minimum qualifications ...

    Preferred Qualifications

    • ... preferred ...
    Maybe Skills: we could combine communication/organizational etc. But we already have them in requirements. Could create Skills section for "Excellent communication and organizational skills" etc. But we might not need separate Skills if we already covered. The instruction: Prefer a few substantive sections over many thin ones. So we could merge Skills into Requirements or Qualifications. But we have separate headings for Requirements and Qualifications. Could treat Requirements as minimum qualifications, Qualifications as preferred qualifications. Skills maybe not needed. We need to include sections only when posting has real specific content. We have About the role, Responsibilities, Requirements (minimum), Qualifications (preferred), Pay, Schedule. We should not include Benefits. Now format. We need to preserve all substantive information. Ensure we don't lose any details. Let's craft About the role paragraph: combine the intro sentences. "Cleveland Clinic’s Business Operations Center serves as a key hub for our Home Care and Hospice operations as well as many administrative and support teams. This collaborative workplace supports a wide range of caregivers, clinical professionals, and operational teams. While many positions are based within the center, numerous home-visiting roles—including case managers, nurses, and therapists—travel throughout the Greater Cleveland and Akron/Canton areas to deliver exceptional care directly to patients in their homes. Supports Cleveland Clinic’s respiratory therapy department by managing a wide range of providers and patient requests including new referrals, orders, supplies, billing, and broad questions. Always represents Cleveland Clinic in a professional, caring, and helpful manner." That's good. Now Responsibilities list: each bullet as
  • . We need to ensure we keep the exact phrasing. Let's list them: - Demonstrate exceptional customer service based upon the expected service behaviors included in Cleveland Clinic’s START with Heart model. - Answer high volume of calls from referral sources and patients, documenting steps taken to successfully manage the call. - Professionally investigates, triages, and resolves patient issues, using the established HEART model. - Follow standards and guidelines for telephone etiquette and service when interacting with patients and providers over the phone. - Meet department productivity standards including the number of calls answered, while also assuring the highest level of customer service. - Proactively reaches out to leadership when additional support is needed. - Perform all tasks related to the order intake process including, but not limited to, patient registration, insurance verification, scheduling, and ordering supplies according to department standards and guidelines ensuring accuracy and an outstanding patient experience. - Review insurance policies, and reviews and interprets clinical notes, clinical testing & procedures prior to ordering DME to assure order is appropriate per insurance guidelines. - Recommend appropriate respiratory supplies that will be compatible with the patient’s current equipment. - Assure prescriptions are received at time of initial referral with all necessary information to qualify for insurance reimbursement. - Verify warranty times on respiratory therapy equipment at patient’s start of care. - Assure we submit claims within the warranty period to prevent controllable loss. - Coordinate discharge between referral sources and field staff - Educate on DME order requirements with referring providers - Enter and maintain confidential and accurate patient information including patient insurance, billing, and payment information. - Work closely with the Finance department on insurance and billing questions. - Clear previous day’s routes and checks all paperwork for accuracy and completeness. - Encourage patient utilization of front-end technology (EMR), and provide related guidance, education, and technical assistance. - Support and participate in process improvement efforts. - Collaborate with Case Managers and Liaisons to coordinate and arrange required DME services for discharge promptly. - Monitor and prioritize hospital discharges to optimize care coordination and identify elevated risk patients. - May participate on committees and have a role in other Institute initiatives. Now Requirements (minimum qualifications): - High School Diploma or GED. - Minimum two years of patient registration, appointment scheduling, insurance processing, customer service, or DME equipment/supply/purchasing experience OR Associate’s degree may substitute for one year of experience OR Bachelor’s degree may substitute for the experience requirement. - Knowledge of current products and services, as well as Medicare and Medicaid insurance regulations. - Understanding of FDA/DOT and JCAHO guidelines. - Knowledge of PC window applications sufficient to input and retrieve data. - Excellent communication and organizational skills are essential to successfully communicate with a diverse patient population and workforce. - Can work independently with minimal supervision in a fast-paced environment. Preferred Qualifications: - Knowledge of medical terminology and DME. - Can type a minimum of 30 words per minute (assessed at time of application) or demonstrate personal computer keyboard skills - Previous experience in DME industry Physical Requirements maybe could be part of Requirements? But we could add a section "Physical Requirements". However we have limited sections; we could incorporate into Requirements or Qualifications. But the instruction: Use sections only when posting has real specific content. Physical Requirements is specific. Could add a section "Physical Requirements". But we already have many sections; maybe we can combine Physical Requirements into Requirements or Qualifications. However the instruction says prefer a few substantive sections over many thin ones. So we should avoid too many sections. We could merge Physical Requirements into Requirements (minimum qualifications) as they are also requirements. But they are separate bullet list; we could still include them under Requirements as additional items. That would keep sections fewer. Similarly Personal Protective Equipment could be included under Requirements. Thus we will have Requirements section containing all minimum qualifications plus physical requirements and PPE. Let's compile Requirements list: - High School Diploma or GED. - Minimum two years of patient registration, appointment scheduling, insurance processing, customer service, or DME equipment/supply/purchasing experience OR Associate’s degree may substitute for one year of experience OR Bachelor’s degree may substitute for the experience requirement. - Knowledge of current products and services,

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