Referral Specialist

Company: HME Home Medical
Location: Sheboygan
Posted on: November 21, 2022

Job Description:

*About us**A Good Life begins with a Good Company** *Build Your Future. Build Your Dream.*HME Home Medical is a dynamic, growing provider of home medical equipment serving over 30,000 patients throughout Northeast Wisconsin since 1986. HME Home Medical has three locations, Green Bay, Manitowoc, and Sheboygan, carrying over 8,000 different products in sleep and respiratory equipment, custom rehab and mobility equipment, mastectomy, and lymphedema fittings, wound care, home accessibility options, and other related services.Coordinates the referral paperwork and processes of the assigned area of service. Prepares referrals, obtains authorizations and pre-certifications for patients. Assists patients in procuring the most appropriate care based upon their managed care plans. Places orders or dispenses product based on the information provided by customers or referral sources. We are looking for someone with a natural customer service flair. To succeed in this role, you should have a strong telephone manner, excellent communication skills and be able to handle pressure.Responsibilities:* Maintains documentation accordingly and provides authorization codes and numbers to insurance.* Responsible for obtaining necessary referrals for patients in need of ancillary or specialty services.* Works directly with patients regarding the requirements and limitations of their health plan.* Maintains key contacts at managed care companies, documenting all interactions, helping to facilitate managed care process.* Assists in meeting goals related to days in accounts receivable by working as part of a team responsible for several front-line billing aspects which may include but is not limited to entry/verification of patient demographics, collection of medical noted/documentation at the time of service.* Assists in meeting goals related to quality and customer satisfaction by providing outstanding service when offering assistance, guidance, and direction to visitors and patients, in person and over the phone.* Willingly accepts other duties as assigned.Job Type: Full-timePay: From $17.50 per hourBenefits:* 401(k)* 401(k) matching* Dental insurance* Health insurance* Paid time off* Vision insuranceSchedule:* 8 hour shift* Monday to FridayShift:* 8 hour shiftWeekly day range:* Monday to FridayExperience:* Communication skills: 1 year (Required)* Documentation review: 1 year (Preferred)* Care plans: 1 year (Preferred)Work Location: One location

Keywords: HME Home Medical, Sheboygan , Referral Specialist, Other , Sheboygan, Wisconsin