Transition Order Specialist

Job Type Full-time Description

SUMMARY:

The Transition Order Specialist is responsible for reviewing, validating, and processing orders that are transitioned from company acquisitions, between different payers, or settings. This role ensures orders are complete, compliant, and aligned with payer, regulatory, and company requirements before billing. The specialist acts as a critical checkpoint to prevent delays, reduce errors, and provide a smooth transition of patient care.

ESSENTIAL FUNCTIONS:

1. Review new transition orders for accuracy, completeness, and compliance with payer and Medicare/Medicaid guidelines.
2. Verify supporting documentation (physician orders, clinical notes, prior authorizations, insurance eligibility, certificates of medical necessity, and proof of delivery, as applicable).
3. Confirm correct product selection, HCPCS coding, and quantity against clinical requirements and payer guidelines.
4. Identify and resolve discrepancies or missing documentation by coordinating with referral sources, physicians, patients, and internal teams.
5. Coordinate and assist patients for missing documentation
6. Ensure converted orders meet billing and compliance standards before submission to revenue cycle teams.
7. Track, prioritize, and manage workload to meet departmental turnaround time and accuracy standards.
8. Collaborate with customer service, intake, sales, and insurance verification teams to ensure seamless order conversion and patient satisfaction.
9. Maintain up-to-date knowledge of payer requirements, industry regulations, and company policies related to DME billing and compliance.
10. Other duties as assigned by management

REQUIRED EDUCATION AND/OR EXPERIENCE:

1. High School diploma or GED equivalent.
2. 2+ years of experience in DME healthcare order intake , or medical billing.
3. Strong attention to detail with the ability to identify errors and inconsistencies in documentation.
4. Excellent communication and problem-solving skills.
5. Proficiency in EMR/order management systems and Microsoft Office Suite.

PREFERRED EDUCATION AND/OR EXPERIENCE:

1. Prior experience with conversion order processing or transitions of care.

ADDITIONAL QUALIFICATIONS:

None.

COMPETENCIES:

Exceptional time management

Attention to Detail 

Ability to work individually or with a team

Ability to perform outreach via phone, email or other means

Compliance Minded

Results Driven

POSITION TYPE/EXPECTED HOURS OF WORK:

This is a full-time position. May include both in-office and at home flexibility.

SUPERVISORY RESPONSIBILITY:

This position has no supervisory role.

WORK ENVIRONMENT:

This job operates primarily in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

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.

The employee is typically required to sit; occasionally required to stand, climb or balance; and stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move up to 10 pounds and rarely lift and/or move up to 25 pounds. Specific vision abilities required by this job include both close and distance vision, color and peripheral vision, depth perception and ability to adjust focus.

TRAVEL:

Travel is not typically required for this position.

OTHER DUTIES:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

EEO STATEMENT:

DASCO provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, DASCO complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

DASCO expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper inter