资金专员II - 北部区域
Funding Specialist II - North Region
职位说明：
与资金经理、资金主管、分行经理、康复技术供应商（RTS）及其他办公室支持人员协调，确保所有操作流程按照公司政策并在预期时间内完成。负责完整的资金交易周期，包括编码与定价、收集与资金包相关的资料和文件、确保所有文件齐全、提交给资金来源并收集付款方的决定，包括授权、拒绝和延期。
公司简介：
在各个层面，于国家座椅与移动公司工作，有机会直接改善客户的生活，让他们获得自主性和独立性。我们的团队由充满热情的个人组成，致力于为每位客户提供最好的护理。我们通过利用技术，创造符合客户独特需求的移动解决方案，关注客户的潜力。
在国家座椅与移动公司工作是一个建立有意义职业生涯的机会，同时对我们服务的人产生持久的影响。我们在超过40个州设有办事处，致力于多元化，并提供多种福利，包括401k、公司支付的长期残疾保险和学费报销。
职责与责任 / 核心职能：
1. 管理从准备处理到最终资金批准的交易周期时间（TCT），确保所有必要步骤按正确顺序执行，保证流程的及时性和资金批准的质量。
2. 获取任何所需的缺失人口统计数据，并确保所有客户信息（最低文档要求）正确无误地录入工单。
3. 验证客户福利和覆盖范围，并将福利信息传达给客户。
4. 收集并审核资金包的文件，包括但不限于：正确的处方、医疗必要性信函（LMN）、RTS评估信息、价格清单、表格（AOB、ABN、租赁或购买信函）。
5. 定期与医生、治疗师、RTS和客户沟通，以获取付款方要求的文件。
6. 传达流程中的变更和升级，并从分行员工、转介来源、医生、治疗师、RTS和客户处收集所需信息。
7. 调查并更新UPD中的任何付款方要求。
8. 保持与客户的沟通
查看英文原文
Statement of the Position:
Coordinates with the Funding Manager, Funding Supervisor, Branch Manager, Rehabilitation Technology Supplier (RTS), and other office support personnel to ensure all operational procedures are completed in accordance with company policy and within expected time frames. Responsible for the complete funding transaction cycle including Coding & Pricing, gathering information and documents pertinent to the funding package, ensuring that all documentation is in place, submission to the funding sources and collecting payer decisions including authorizations, denials, and deferrals.
Company Description:
At all levels, working at National Seating & Mobility provides the opportunity to directly impact our client’s lives by giving them self-reliance and independence. Our teams are comprised of passionate individuals, dedicated to providing the best care to each client. We focus on abilities by leveraging technology and creating mobility solutions that are as unique as our client’s needs.
Working at National Seating & Mobility is an opportunity to build a meaningful career, while leaving a lasting impact on the lives of those we serve. Located in more than 40 states, we strive for diversity and offer an array of benefits including 401k, company paid Long Term Disability, and tuition reimbursement.
Duties and Responsibilities / Essential Functions:
1. Manages transaction cycle time (TCT) from Ready to Process to Final Funding Approval, making certain that all necessary steps are taken in the appropriate order ensuring timeliness of process and quality of funding approval.
2. Obtains any required missing demographics and ensures that all client information (Minimum Documentation Requirement) is correct and is put into the work order.
3. Verifies client benefits and coverage and communicates benefit information to client.
4. Gathers and reviews documentation for funding package, including but not limited to: proper prescriptions, Letters of Medical Necessity (LMN), RTS evaluation information, price lists, forms (AOB, ABN, rent or purchase letter).
5. Communicates regularly with Physicians, Therapists, RTSs, and Clients in an effort to secure documentation as required by payer.
6. Communicates changes and escalations in the process and collects needed information from branch personnel, Referral sources, Physicians, Therapists, RTSs, and Clients.
7. Investigates and updates any payer requirements in the UPD.
8. Maintains communication with client throughout the process when applicable, including notifying them of financial responsibility.
9. Follows up with payer sources in order to obtain timely authorization, by properly working the Funding Work Queue.
10. Requests and obtains proper approval for work order credit exceptions.
11. Conducts pre-purchase quality assurance to ensure all approvals and requirements are met prior to purchase of equipment.
12. Conducts pre-delivery verification to ensure all approvals and requirements are met prior to delivery of equipment.
13. Coordinates with other funding areas and responsible for completing all tasks in the Action Required queue.
14. Performs any related job duties assigned by the Funding Manager or Funding Supervisor. Carries out all position expectations in a professional manner and with minimal supervision.
15. Responsible to complete all continuing education requirements to include assigned NSM University courses.
16. Must maintain regular and predictable attendance.
Work Environment:
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, printers, photocopiers, filing cabinets and fax machines.
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. The employee is regularly required to sit; use hands repetitively to operate standard office equipment. The employee is frequently required to reach with hands and arms.
Required Education, Experience, & Competencies:
- 2 years’ experience in Complex Rehab Technology, Medical Billing, or Funding preferred
- High school diploma or G.E.D.
- Proficient in Microsoft Excel, Word, and Outlook
This job description in no way states or implies that these are the only duties to be performed by this employee. He/She will be required to follow any other instructions and to perform any other duties requested by his/her supervisor.
Originally posted on Himalayas