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 execute operational procedures.

• Oversee the entire funding transaction process, encompassing coding and pricing, documentation collection, funding submission, and payer decisions.

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

• Acquire missing demographic information and ensure that client data and minimum documentation criteria are accurate in the work order.

• Validate client benefits and coverage, and relay benefit information accordingly.

• Collect and assess prescriptions, Letters of Medical Necessity, RTS evaluation details, price lists, and necessary forms.

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

• Research and update payer requirements in the UPD.

• Maintain communication with clients, including notifications regarding financial responsibilities.

• Follow up with payer sources to ensure timely authorization via the Funding Work Queue.

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

• Conduct pre-purchase quality assurance and pre-delivery verification.

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

• Execute duties assigned by the Funding Manager or Funding Supervisor with minimal oversight.

⛳️ Requirements

• A minimum of 2 years’ 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.

• Regular and predictable attendance must be maintained.

• Ability to sit, talk, hear, and use hands repetitively to operate standard office equipment, and frequently reach with hands and arms.

• Capability to function in a professional office setting with standard office equipment.

• Completion of all continuing education requirements, including assigned NSM University courses, is mandatory.

🏝️ Benefits

• 401k plan.

• Company-sponsored Long Term Disability coverage.

• Tuition reimbursement opportunities.

• A workplace that prioritizes diversity.

• Continuing education, including completion of assigned NSM University courses.