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 in line with company policies and timelines.

• Oversee the entire funding transaction cycle, which includes coding and pricing, collecting documentation, submitting funding packages, and obtaining payer decisions.

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

• Acquire any missing demographic information and ensure that client data and minimum documentation standards are correct in the work order.

• Confirm client benefits and coverage, communicating this information effectively to clients.

• Compile and review prescriptions, Letters of Medical Necessity, RTS evaluation data, price lists, and necessary forms.

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

• Research and update payer requirements in the UPD.

• Maintain ongoing communication with clients throughout the process, including informing them of their financial responsibilities.

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

• Request and secure approval for work order credit exceptions.

• Perform pre-purchase quality assurance checks before equipment acquisition.

• Conduct pre-delivery verification prior to equipment shipment.

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

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

• Fulfill continuing education obligations.

• Maintain consistent and predictable attendance.

⛳️ 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.

• Must maintain consistent and predictable attendance.

• Ability to communicate effectively and hear regularly.

• Ability to sit and use hands repetitively for standard office equipment operation.

• Ability to frequently reach with hands and arms.

🏝️ Benefits

• 401k plan.

• Company-paid Long Term Disability coverage.

• Tuition reimbursement program.

• Continuing education opportunities, including mandatory NSM University courses.