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WI-Agnesian Health Shoppe

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 medical equipment and supplies.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILTIES

+ 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 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 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 safe manner.

+ Performs other duties as assigned.

EDUCATION

+ High School diploma/GED or 10 years of work experience

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.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS

+ None

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

8055000116 Clinical Admin

Scheduled Weekly Hours:

40

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

+ **Paid Parental Leave** **:** we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).

+ **Flexible Payment Options:** our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.

+ **Upfront Tuition Coverage** : we provide upfront tuition coverage through FlexPath Funded for eligible team members.

Explore All Benefits (https://jobs.ssmhealth.com/us/en/benefits)

_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. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga=2.205881493.704955970.1667719643-240470506.1667719643)_