Funding Specialist Lead

This is a fully remote position, open to applicants in United States.

📋 Description

• Collaborate with the Division Funding Director, Funding Manager, Funding Supervisor, Branch Manager, Rehabilitation Technology Supplier, and office support staff to execute operational procedures.

• Conduct thorough reviews of orders for accuracy and educate Funding Specialists when discrepancies are found.

• Maintain up-to-date knowledge of durable medical equipment, company policies and procedures, and relevant insurance guidelines.

• Ensure adherence to company policies and procedures.

• Oversee the transaction cycle time from Coding and Pricing Complete to Documentation Complete.

• Provide support to Funding Specialists during PTO, leaves, open positions, and other recognized needs.

• Communicate with referral sources, physicians, therapists, RTSs, and clients to obtain necessary documentation.

• Request, collect, review, and verify funding package documentation and insurance coverage.

• Convey benefits, coverage, financial responsibilities, and hardship processes to clients.

• Manage funding-related relationships and communications with both internal and external customers.

• Follow document collection escalation protocols and coordinate necessary process changes.

• Investigate documentation requirements from payers and resolve issues in the funding process.

• Complete Funding tasks including Coding and Pricing, Submissions, Authorization collection, PPQA, and Delivery Verifications.

• Provide direction, instructions, and guidance to staff members.

• Document best practices, identify training opportunities, and coordinate improvements or UPD updates.

• Facilitate problem-solving and collaborative efforts.

• Inspire and recognize team members for their contributions.

• Assist in addressing customer complaints, billing issues, and payer correspondence.

• Support performance monitoring and evaluation initiatives.

• Communicate team status, task achievements, and directions to management.

• Conduct routine audits to identify coaching opportunities and ensure high staff performance.

• Assist with temporary branch processing needs and new business acquisitions.

• Perform related duties and special projects as assigned.

⛳️ Requirements

• At least 3 years of experience in Durable Medical Equipment and/or Complex Rehab Technology is required.

• Prior experience in all facets of a Funding Specialist’s role, including processing Repairs and Non-Repairs, is preferred.

• Extensive understanding of the processes and insurance guidelines necessary to secure funding for Durable Medical Equipment and/or Complex Rehab Technology.

• Comprehensive knowledge of insurance verification procedures for DME.

• Experience with applications such as Mobility Advisor or data management systems is required.

• Exceptional communication and interpersonal skills.

• Strong leadership capabilities.

• Excellent team player.

• Strong organizational skills and meticulous attention to detail.

• Customer service-oriented.

• Proficient in computer and technology skills.

• Familiarity with Microsoft Office applications, including Outlook and PowerPoint.

• Experience with Excel spreadsheets and formulas, as well as Outlook email, is required.

• Ability to manage and develop team members remotely.

• Capability to read, analyze, and interpret general business reports, technical procedures, work instructions, and governmental regulations.

• Skilled in writing reports, business correspondence, and training materials.

• Ability to effectively present information and address questions from various staff members.

• Basic understanding of professional and industry standards, along with a willingness to learn and adopt them.

🏝️ Benefits

• 401k

• Company-paid Long Term Disability

• Tuition reimbursement

• Work from home environment