Medical Equipment and Supply Specialist - Continuum of Care
SSM Health · Reedsburg, WI · 1 mo ago
ManagementFull-time
Job Summary
Acts as a liaison between employees, providers, payers, customers, and other health care providers to obtain necessary documentation and process orders for medical equipment and supplies.
Primary Responsibilities
- Obtains and interprets medical documentation, compares documentation with insurance coverage criteria, and creates orders to provide medical equipment and supplies.
- Verifies patient insurance eligibility/benefits and communicates financial responsibilities to patients, caregivers, and other health care providers.
- Reviews, obtains, and logs appropriate medical documentation that supports the reimbursement of equipment/supplies.
- Performs accurate data entry into the operating system and processes orders for appropriate equipment/supplies to ensure delivery and correct billing.
- Communicates with patients, employees, payers, caregivers, and other health care providers on the status of orders.
- Collects payments from patients for coinsurance, copays, and self‑pay items.
- Obtains written orders and prior authorization for appropriate equipment/supplies.
- Ensures compliance with Medicare, Medicaid, and accreditation standards.
- Works in a constant state of alertness and in a safe manner.
- Performs other duties as assigned.
Education and Experience
- High School diploma/GED or 10 years of work experience.
- Two years of relevant experience.
- No professional license or certification required.
Physical Requirements
- Frequent lifting/carrying and pushing/pulling objects weighing 0–25 lb.
- Frequent sitting, standing, walking, reaching, and repetitive foot/leg and hand/arm movements.
- Frequent use of vision and depth perception for near (≤ 20 in) and far (≥ 20 ft) distances, and to identify and distinguish colors.
- Frequent use of hearing and speech to share information orally; ability to hear alarms and malfunctioning machinery.
- Frequent keyboard use/data entry.
- Occasional bending, stooping, kneeling, squatting, twisting, and gripping.
- Occasional lifting/carrying and pushing/pulling objects weighing 25–50 lb.
- Rare climbing.
Schedule
40 hours per week on the day shift.