Durable Medical Equipment (DME) Advocate (REMOTE)

Overview:

Durable Medical Equipment (DME) Advocate - Remote position for South Carolina Residents Only!

Summary

The DME Advocate is a non-clinical position that assists the clinical staff in supporting members with acute and chronic clinical conditions for the Medically Complex Children’s Waiver program in South Carolina.

Job Requirements and Competencies:

DME Advocate will have extensive knowledge of durable medical equipment. Strong Communication skills both verbal and written. Exceptional customer service skills capable of working with diverse cultures and personalities. Commitment to create an extraordinary experience with each participant's family

Responsibilities:

• Ensures and maintains the confidentiality of all Personal Health Information collected
• Accurately narrating gathered information in participants chart through Phoenix (SCDHHS software)
• Manage the access to PHI in accordance with federal and state requirements for HIPAA, HITECH
• Work as a liaison between other employees, providers, and participant families.
• Accurately log DME information for tracking purposes on master spreadsheet
• Communicate with all involved parties to ensure information is up to date.
• Review/research charts for DME information and provider information
• Prepares communication to Physicians and Providers for requested DME
• Consistently follows up with DME providers to ensure all documents have been received and all information is in process for streamline processing.
• Works closely with all Care Coordinators and Care Advocates to provide the best possible service to participants.
• Accurately prepares referral documentation to providers for DME orders.
• Gathers information for denials of DME to consist of denials from Kepro, private insurance, Provider cost sheet, CMN LMN and any other supporting documentation.
• Monitors participants eligibility status
• Provide support to participant families with resource information for non-covered DME, which will require research and communications
• Coordinate with outside referral sources for DME to assist in participant DME needs
• Receives information regarding participant via facsimile, telephone, email, and text message.
• Quality Assurance

Qualifications:

Other Responsibilities:

• Adheres to the policies and procedures of Community Health Solutions
• Maintains strict confidentiality of client, company and personnel information
• Demonstrates a strong commitment to the mission and values of the organization
• Adheres to company attendance standards
• Performs other duties as assigned

Supervisory Responsibilities: None

Competencies:

• Strong organizational and interpersonal skills
• Excellent written and verbal communication skills
• Detail oriented
• Ability to multi-task and work independently
• Strong competency in Microsoft Office products including Word and Excel

Qualifications:

• Previous DME knowledge preferred.
• Proficiency in data entry skills
• Strong customer service/telephone skills
• Candidates must reside in South Carolina

Education and/or Experience:

A high school diploma or equivalent is required. Knowledge of medical terminology is required. Previous DME experience is preferred.

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