Customer Service Coordinator- New PAP

10422 RT/HME - Patient Access

Full time

Yes

40

To work with our DME New PAP team processing referrals.

Monday thru Friday    8:00-5:00

At Home role

Pay Range:

$22.90 - $34.35

Major Responsibilities:

• Evaluates HME referral and service order requests to ensure smooth and timely transition for patient from hospital to home while ensuring the patient is supported safely and insurance benefits are optimized. Advocates for patient serving as a liaison to explain prescription order, hospital transition and home start of care process, and insurance benefits. Access service requests in relation to organization acceptance criteria and evaluates medical documentation to ensure payer coverage criteria are satisfied. Verifies patient insurance benefits and eligibility and contacts insurance plan to obtain service prior authorization as needs and determines patient co-insurance. Provides direction to physicians on how to resolve documentation or medical management gaps when documentation does not support medical necessity or payer coverage criteria. Identifies risk issues and collaborates with patient, physician, hospital staff a