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 processes.

• Oversee the entire funding transaction cycle, which includes coding and pricing, gathering necessary documentation, submitting funding packages, and securing payer decisions.

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

• Acquire any missing demographics and ensure that client information and minimum documentation requirements are correctly reflected in work orders.

• Confirm client benefits and coverage while effectively communicating benefit information.

• Collect and review prescriptions, Letters of Medical Necessity, RTS evaluation data, price lists, AOB, ABN, and rent-or-purchase letters.

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

• Investigate and update payer requirements in the UPD.

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

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

• Request and obtain approvals for work order credit exceptions.

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

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

• Execute additional responsibilities as assigned by the Funding Manager or Funding Supervisor with minimal supervision.

⛳️ 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 essential.

• Regular and predictable attendance is a must.

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

• Capability to meet the physical demands of the role, which includes sitting, talking, hearing, and using hands repetitively to operate standard office equipment.

• Ability to work within a professional office environment utilizing computers, phones, printers, photocopiers, filing cabinets, and fax machines.

🏝️ Benefits

• 401k plan.

• Company-sponsored Long Term Disability coverage.

• Tuition reimbursement program.