About the Role
Custom Rehab Representative
Fully Remote
Lakewood, New Jersey, NJ
Description
AdaptHealth Opportunity – Apply Today!
At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients’ lives, please click to apply, we would love to hear from you.
Custom Rehab Representative
The Custom Rehab Representative is responsible for ensuring that all assigned rehab orders are processed quickly and accurately to ensure the client’s mobility needs are met. Serves as the primary point of contact for all rehab orders. Responsible for review of medical documentation, submission, and follow-up of prior authorizations.
Job Duties:
- Answers incoming calls from clients, therapists, payers, and Assistive Technology Professionals (ATP’s).
- Processes new order intakes efficiently and effectively.
- Requests, collects, and reviews order documents to include Functional Mobility Evaluation (FME) and Letter of Medical Necessity (LMN), and reviews other medical documentation for accuracy and medical necessity.
- Communicates with all staff involved in order processing to allow for the most effective flow of orders being processed.
- Conducts research of related equipment on vendor websites.
- Maintains knowledge of all products and services that AdaptHealth provides.
- Obtains medical documentation for required funding approval utilizing telephone, fax, and email.
- Responds to all internal and external customers in a timely and professional manner.
- Communicates effectively with branch employees regarding order processing.
- Provides support for various business processes and innovations including departmental standard operating procedures.
- Submits for prior authorization with all required documentation toa appropriate funding source.
- Maintains consistent follow-up on status of all prior authorization requests.
- Reviews authorizations from payer to determine approved/denied items.
- Calculates estimated copay based on current insurance benefits.
- Communicates with supervisor in orders to issues or changes with payer
Competency, Skills and Abilities:
- Strong written and verbal communications
- Excellent customer service and phone skills
- Ability to prioritize tasks and manage multiple tasks
- Strong analytical, decision making, and problem-solving skills with attention to details
- Proficient use of Microsoft Office Suite – Excel, Word, PowerPoint, etc.
- Ability to work independently and with a team
- Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction
Requirements
Minimum Job Qualifications:
- High school diploma required; associate degree preferred
- One (1) year of work-related experience in health care, administration, insurance, claims, billing, or other related industry