Specialty Services Rep I - DME Cypress Care
THIS JOB HAS EXPIRED Objective/Purpose
To manage the order fulfillment and processing of referrals for the medical needs of injured workers. DME (Durable Medical Equipment, TEN (Transcutaneous Electrical Nerve Stimulation) , MRI, Physical Therapy (PT) and Transportation/Translation (T/T).
Essential Duties and Responsibilities
Receive referrals from clients requesting the delivery and/or coordination of medical needs for their claimants.
Answer In- bound phone calls and initiate Out-bound phone calls.
Obtain and verify all required referral information for completeness and accuracy.
Locate network vendors or local vendors in patient?s proximity to coordinate and provide requested medical services.
Process and order medical items / supplies (DME) through network vendors within established SOP guidelines.
Schedule and coordinate Diagnostic (MRI) procedures with network imaging facilities.
Schedule and coordinate Physical Therapy (PT) appointments.
Schedule and coordinate Transportation and Translation services (T/T).
Provide the highest level of quality in service delivered.
Manage and resolve all client inquiries and service concerns both internally and externally. Communicate effectively both written and verbally with customers to assist in resolving any questions and inquiries related to status of orders.
Build and maintain positive relationships with clients, claimants and vendors.
Work effectively with other departments to accomplish common organizational goals.
Assisting other departments with various data related tasks
Other tasks as directed by the Company
Associates degree in Medical Sciences preferred but not required.
Prior worker?s comp claims processing experience preferred but not required.
Prior order fulfillment experience preferred but not required.
Familiar with HCPC, ICD-9, and CPT Coding preferred.
Familiarity with managed care contracts, workers compensation legal requirements, medical terminology, and fee schedules may be required.
Proficiency with MS Application (Word, Excel, Outlook).
Strong verbal and written communication skills, including excellent people skills.
Ability to work well independently and within a team environment.
Superior organizational and time management skills
||Duluth, GA |
THIS JOB HAS EXPIRED