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, encompassing coding and pricing, gathering necessary documentation, submission to funding sources, and collecting payer decisions.

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

• Acquire any missing demographic information and ensure client data is accurate in the work order.

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

• Compile and assess funding package documentation, such as prescriptions, Letters of Medical Necessity, RTS evaluation data, price lists, and required forms.

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

• Research and update payer requirements in the UPD.

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

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

• Request and secure approval for work order credit exceptions.

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

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

• Perform additional duties as assigned by the Funding Manager or Funding Supervisor.

• Fulfill continuing education requirements.

• Ensure consistent and reliable attendance.

⛳️ Requirements

• A minimum of 2 years of 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.

• Must demonstrate consistent and reliable attendance.

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

• Ability to communicate regularly through speaking and listening.

• Ability to reach with hands and arms frequently.

🏝️ Benefits

• 401k plan.

• Company-funded Long Term Disability coverage.

• Tuition reimbursement opportunities.

• Continuing education requirements, including designated NSM University courses.