Funding Specialist II

This is a fully remote position, open to applicants in United States.

📋 Description

• Collaborate with the Funding Manager, Funding Supervisor, Branch Manager, Rehabilitation Technology Supplier, and office support staff to carry out operational processes.

• Oversee the entire funding transaction cycle, which includes Coding & Pricing, gathering necessary documentation, submitting funding packages, and obtaining payer decisions.

• Manage the transaction cycle duration from Ready to Process to Final Funding Approval.

• Acquire missing demographic information and ensure that client details and Minimum Documentation Requirements are accurately reflected in the work order.

• Verify client benefits and coverage, and effectively communicate benefit details.

• Collect and examine prescriptions, Letters of Medical Necessity, RTS evaluation data, price lists, and required documentation.

• Liaise with physicians, therapists, RTSs, clients, branch staff, and referral sources to secure necessary documentation and information.

• Assess and update payer requirements in the UPD.

• Maintain communication with clients, including informing them of their financial responsibilities.

• Follow up with payer sources to secure timely authorization through the Funding Work Queue.

• Request and obtain approval for exceptions related to work order credits.

• Conduct pre-purchase quality assurance checks and pre-delivery verifications.

• Coordinate with other funding departments and address tasks in the Action Required queue.

• Execute related duties as assigned by the Funding Manager or Funding Supervisor.

• Fulfill continuing education requirements while ensuring regular and predictable attendance.

⛳️ Requirements

• A minimum of 2 years of experience in Complex Rehab Technology, Medical Billing, or Funding is preferred.

• High school diploma or G.E.D. is required.

• Proficiency in Microsoft Excel, Word, and Outlook is necessary.

• Must maintain regular and predictable attendance.

• Capability to meet the physical demands of the role, including frequent sitting, talking, hearing, and the repetitive operation of standard office equipment.

• Ability to thrive in a professional office setting.

• Must complete all continuing education obligations, including assigned courses through NSM University.

🏝️ Benefits

• 401k plan.

• Company-paid Long Term Disability coverage.

• Tuition reimbursement program.

• Continuing education opportunities through NSM University courses.