DME Customer Care Representative

About This Role

Process new Durable Medical Equipment (DME) orders, determine medical necessity, and ensure accurate information delivery to facilitate billing and exceptional customer service.

Responsibilities

• Receive and process referrals from hospitals, provider offices, and rehabs, maintaining frequent communication regarding setup deliveries
• Review medical records for appropriate documentation of diagnosis, notes, and ordered equipment
• Verify insurance benefits, copays, and same/similar coverage, then review all out-of-pocket expenses with customers
• Respond to customer inquiries or equipment orders by researching, understanding, and documenting accounts
• Create appropriate delivery and billing documentation as necessary per insurance guidelines
• Work daily reports such as held claims and open orders to ensure timely billing and follow-up on outstanding documentation
• Coordinate equipment delivery with DME Technicians and DME Supervisor
• Assist in over-the-counter sales and/or rentals, identifying equipment/supplies and instructing customers on safe use and maintenance
• Participate in store inventory and ensure retail area is stocked with equipment when assigned
• Balance point of sale terminal cash drawers daily when assigned to retail workspace

Requirements

• High school diploma or GED
• 6 months of Customer Service experience
• Successful completion of Level II background screening
• Proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint) and relevant systems

Qualifications

• High school diploma or GED
• 6 months of Customer Service experience, one year experience in healthcare environment preferred

Nice to Have

• One year experience in healthcare environment
• Working knowledge of medical insurance and medical terminology

Skills

* Required skills