Respiratory Specialist, Customer Service

SSM Health hiring for Respiratory Specialist, Customer Service jobs in Madison, WI, US

It's more than a career, it's a calling.

WI-SSM Health at Home Madison Hammersley

Worker Type:

Regular

Job Summary:

Acts as a liaison between employees, providers, payers, customers, and other health care providers to obtain necessary documentation and process orders for CPAP, BiPAP, and other respiratory equipment and supplies.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

• Obtains and interprets medical documentation, compares documentation with insurance coverage criteria, and creates orders to provide CPAP, BiPAP and other respiratory equipment and supplies.
• Verifies patient insurance eligibility and benefits and communicates financial responsibilities to patients, caregivers, and other health care providers.
• Performs accurate and timely data entry into operating system and processes orders for appropriate equipment and supplies to ensure for timely delivery and correct billing.
• Communicates with patients, employees, caregivers, and other health care providers on 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.
• May focus duties on other equipment/supply groups as needed. 
• Performs other duties as assigned.

EDUCATION

• High school diploma or equivalent

EXPERIENCE

• Two years' experience

PHYSICAL REQUIREMENTS

• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
• Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
• Frequent keyboard use/data entry.
• Occasional bending, stooping, kneeling, squatting, twisting and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
• Rare climbing.

Work Shift:

Day Shift (United States of America) Employee

Department:

8050000174 Administration

Scheduled Weekly Hours:

20

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.