Careers With Purpose

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Facility: 12th & Kiwanis
Location: Sioux Falls, SD
Address: 2710 W 12th St, Sioux Falls, SD 57104, USA
Shift: 8 Hours - Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $16.00 - $25.50

Job Summary

Demonstrates a broad understanding of the DME industry, including the intake process, , , documentation, billing, compliance, and performance management. Provide first-line communication with a variety of patients, referral sources, and clinicians to facilitate ordering and delivery of durable medical equipment (DME) products, supplies, and services.

Ensure all patient information is processed timely and accurately to enhance patient satisfaction and optimize revenue. Receive inquires and orders by telephone, fax, and email. Gather all necessary documentation, as it relates to payer requirements, standard operating procedures, and compliance programs. Communicate with Equip clinical staff and referral sourceregarding deficiencies in documentation to meet the coverage criteria of ordered equipment and supplies. Requests needed documentation via email, in-basket messaging, phone calls, or other agreed upon method of communication. Resolve customer concerns, questions, and complaints regarding sale orders as able, or refer complaint to the Equip clinical staff if unable to resolve. Anticipate patient needs for timely set up of equipment or delivery of supplies and respond quickly to complete the intake process.

Create new patient account in the Equip computer system, accurately entering all demographic information, ordering physician and insurance information. . Obtains needed medical records to support physician order, verifies insurance, obtains and logs any prior authorizations and prescriptions, and initiates an ABN as needed. Notates all intake information in the Equip patient account. Notifies clinical staff when intake is complete and patient is ready to be set up. Maintain a working knowledge base regarding billing, documentation, and reimbursement guidelines/issues, including but not limited to Medicare, Medicaid, other third party and contracted payers. Depending on department assigned to, may be responsible for setting up patient appointments as well as making follow up calls to patients. Complete tasks with minimum supervision, exercising independent judgment. Perform other duties as assigned by management.

Qualifications

High school diploma or equivalent.

Strong knowledge of computer functions and basic Microsoft Office applications. Detail oriented, excellent documentation skills, and the ability to follow through to the end. Basic knowledge of the medical field, with prior experience in home medical equipment helpful.

Benefits

Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Req Number: R-0183276
Job Function: Facilities and General Services
Featured: No