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, documentation collection, submission of funding packages, and obtaining payer decisions.

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

• Acquire missing demographics and confirm that client information and minimum documentation requirements are accurate.

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

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

• Interact with physicians, therapists, RTSs, clients, branch staff, and referral sources to gather documentation and address escalations.

• Research and update payer requirements in the UPD.

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

• 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 verification.

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

• Fulfill assigned responsibilities and continuing education obligations.

• Maintain consistent and reliable attendance.

⛳️ Requirements

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

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

• Proficient in Microsoft Excel, Word, and Outlook.

• Must ensure regular and predictable attendance.

• Ability to function in a professional office environment.

• Capability to communicate effectively, sit, use hands repetitively to operate standard office equipment, and frequently reach with hands and arms.

• Ability to perform job duties with minimal supervision.

🏝️ Benefits

• 401k plan.

• Company-paid Long Term Disability insurance.

• Tuition reimbursement program.

• Continuing education opportunities, including assigned NSM University courses.