Patient Order Management Associate
3.
3 Waltham, MA Waltham, MA Full-time Full-time $20.
34 - $30.
53 an hour $20.
34 - $30.
53 an hour 4 hours ago 4 hours ago 4 hours ago Overview:
The Patient Order Management Associate manages patient orders.
This position is responsible for reviewing medical records and determining if they meet payer policy guidelines, submitting authorizations and checking status of authorizations with payers, running patient benefit information to obtain patient's estimated OOP, and building strong relationships within accounts (clinicians and clinic staff) to retrieve documentation necessary to submit a claim to patient's insurance.
Responsibilities:
Ensure timely processing of orders Review clinician documentation for specific criteria to satisfy payer medical policy requirements Verify patient eligibility and durable medical equipment benefit with health insurance plan(s) Determine authorization process and requirements of payers for durable medical equipment Submit and follow up on the status of authorization requests for DME coverage with commercial payers Set up payments and payment arrangements within our point-of-sale system Document patient insurance benefits in Tactile's database and verify the information on file is accurate Update and maintain patient information and database records thoroughly and accurately Serve as an expeditor/liaison between Tactile Medical, clinicians, healthcare teams, and patients to obtain all necessary paperwork to drive order to shipment Participate in ongoing team trainings Maintain department service levels including turnaround time Maintain payer portal registration Be a team player.
Assist other team members when needed Be a champion for continuous process improvement.
Ask questions and continually look for ways to make processes better, faster or more efficient Contribute to monthly 1:
1, small and large group team meetings May participate in training of new field reps, handle product conversions and/or general account support Maintain compliance with all regulatory requirements including HIPAA Other duties as assigned Remote Office Patient Order Management Associate:
Maintain their remote office location, which includes understanding accreditation requirements for the site set by local insurance provider and being prepared for yearly, unannounced site audits Manage the office space.
This may include maintaining posted office hours, greeting patients, visitors, and ordering and organizing supplies Prepare and update accreditation documentation every six months
Qualifications:
Required:
1
years' experience in a medical device customer service, or call center type role Preferred:
Bachelor's degree or equivalent and relevant work experience Previous experience in working with patients, clinicians, and payers Previous experience working with Filemaker Previous medical device (outpatient DME), insurance, revenue cycle management, reimbursement, or customer service experience Competencies:
Action Oriented Collaborative Communication Compassion Composure Customer Focus Drive for Results Interpersonal Savvy Priority Setting Problem Solving Relationship Building Time Management Below is the salary range for this position, although offers may differ based on the candidate's location, job-specific knowledge, skills, and experience.
:
$20.
34 - $30.
53 / HR Additional
Benefits:
:
Non-Exempt - Our total compensation package includes medical, dental and vision benefits, retirement benefits, employee stock purchase plan, paid time off, parental leave, family medical leave, volunteer time off and additional leave programs, life insurance, disability coverage, and other life and work wellness benefits and discounts.
Benefits may be subject to generally applicable eligibility, waiting period, contributions, and other requirements and conditions.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
3 Waltham, MA Waltham, MA Full-time Full-time $20.
34 - $30.
53 an hour $20.
34 - $30.
53 an hour 4 hours ago 4 hours ago 4 hours ago Overview:
The Patient Order Management Associate manages patient orders.
This position is responsible for reviewing medical records and determining if they meet payer policy guidelines, submitting authorizations and checking status of authorizations with payers, running patient benefit information to obtain patient's estimated OOP, and building strong relationships within accounts (clinicians and clinic staff) to retrieve documentation necessary to submit a claim to patient's insurance.
Responsibilities:
Ensure timely processing of orders Review clinician documentation for specific criteria to satisfy payer medical policy requirements Verify patient eligibility and durable medical equipment benefit with health insurance plan(s) Determine authorization process and requirements of payers for durable medical equipment Submit and follow up on the status of authorization requests for DME coverage with commercial payers Set up payments and payment arrangements within our point-of-sale system Document patient insurance benefits in Tactile's database and verify the information on file is accurate Update and maintain patient information and database records thoroughly and accurately Serve as an expeditor/liaison between Tactile Medical, clinicians, healthcare teams, and patients to obtain all necessary paperwork to drive order to shipment Participate in ongoing team trainings Maintain department service levels including turnaround time Maintain payer portal registration Be a team player.
Assist other team members when needed Be a champion for continuous process improvement.
Ask questions and continually look for ways to make processes better, faster or more efficient Contribute to monthly 1:
1, small and large group team meetings May participate in training of new field reps, handle product conversions and/or general account support Maintain compliance with all regulatory requirements including HIPAA Other duties as assigned Remote Office Patient Order Management Associate:
Maintain their remote office location, which includes understanding accreditation requirements for the site set by local insurance provider and being prepared for yearly, unannounced site audits Manage the office space.
This may include maintaining posted office hours, greeting patients, visitors, and ordering and organizing supplies Prepare and update accreditation documentation every six months
Qualifications:
Required:
1
years' experience in a medical device customer service, or call center type role Preferred:
Bachelor's degree or equivalent and relevant work experience Previous experience in working with patients, clinicians, and payers Previous experience working with Filemaker Previous medical device (outpatient DME), insurance, revenue cycle management, reimbursement, or customer service experience Competencies:
Action Oriented Collaborative Communication Compassion Composure Customer Focus Drive for Results Interpersonal Savvy Priority Setting Problem Solving Relationship Building Time Management Below is the salary range for this position, although offers may differ based on the candidate's location, job-specific knowledge, skills, and experience.
:
$20.
34 - $30.
53 / HR Additional
Benefits:
:
Non-Exempt - Our total compensation package includes medical, dental and vision benefits, retirement benefits, employee stock purchase plan, paid time off, parental leave, family medical leave, volunteer time off and additional leave programs, life insurance, disability coverage, and other life and work wellness benefits and discounts.
Benefits may be subject to generally applicable eligibility, waiting period, contributions, and other requirements and conditions.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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