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.

• Complete the entire funding transaction process, which includes coding and pricing, gathering necessary documentation, submitting funding packages, and obtaining payer decisions.

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

• Acquire any missing demographic information and ensure that client details are accurate and included in work orders.

• Confirm client benefits and coverage, and relay benefit information to clients.

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

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

• Research and update payer requirements in the UPD.

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

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

• Request and obtain approvals for work order credit exceptions.

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

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

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

• Fulfill continuing education obligations.

• Ensure consistent and predictable attendance.

⛳️ Requirements

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

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

• Proficient in Microsoft Excel, Word, and Outlook.

• Must maintain consistent and predictable attendance.

• Ability to work within a professional office setting.

• Capability to utilize computers, phones, printers, photocopiers, filing cabinets, and fax machines.

• Ability to communicate effectively through talk and hearing regularly.

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

• Ability to reach with hands and arms frequently.

🏝️ Benefits

• 401k plan.

• Company-paid Long Term Disability insurance.

• Tuition reimbursement offered.

• A workplace that emphasizes diversity.

• Opportunities for continuing education, including assigned courses at NSM University.