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, which includes coding and pricing, gathering necessary documentation, submitting funding packages, and obtaining payer decisions.

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

• Collect missing demographic information and verify that client details and minimum documentation requirements are accurate in work orders.

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

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

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

• Research and update payer requirements in the UPD.

• Maintain communication with clients and inform them of their financial responsibilities when applicable.

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

• Request and obtain approval for work order credit exceptions.

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

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

• Fulfill assigned responsibilities and continuing education requirements 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.

• Must demonstrate regular and predictable attendance.

• Capability to meet the physical demands of the position, including frequent talking, hearing, sitting, and repetitively using hands to operate standard office equipment.

• Ability to work within a professional office environment equipped with standard office tools.

• Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.

🏝️ Benefits

• 401k plan offered.

• Company-paid Long Term Disability coverage.

• Tuition reimbursement available.

• Continuing education requirements, including assigned NSM University courses.