Kaiser Permanente Durable Medical Equipment Clerk (Remote) in Walnut Creek, California
Under the direct supervision of the CCSC Manager, the Durable Medical Equipment (DME) Clerk's responsibilities include receiving, reviewing, & authorizing referrals for DME, Orthotics, Prosthesis & Mobility devices from medical center professionals. Responsibilities also include authorizing & ordering equipment from outside vendors, computing bills, analyzing & processing DME forms. The position also involves medical record review to ascertain appropriateness of ordered equipment, investigation & tracking of pertinent patient information, & performing related departmental duties according to established procedures.
Essential Functions:
Receives, authorizes, & processes orders from Kaiser medical staff.
Verifies membership eligibility.
Enters ICD-9 & HCPC codes per CMN regulations.
Reviews medical records.
Consults w/ physicians, nurses, therapists, & Health Plan.
Answers Service Center phone line.
Serves as liaison between. (Physician, medical staff, patients, patient's family & suppliers).
Investigates & tracks pertinent information by record keeping, computer abstraction.
Continuous follow up for renewal, denial, & purchase of equipment.
Other duties as assigned.
Secondary Functions:
Answer all incoming DME phone calls from members, vendors, nurses, physicians and discharge planners and community agencies for the Service Areas.
Reviews all incoming prescription, checks for appropriate benefits using the Foundation System, prioritizes workflow and processes the prescription by either ordering the equipment or sending for clinical review.
Confers with RN over any clinical issues in which a problem arises.
Orders equipment/supplies using the DOTS system.
Participate in quality assurance activities of the department and may assist in orientation of new staff.
Grade 05
Qualifications
Basic Qualifications:
Requires minimum of one-year of customer service experience.
High School diploma or equivalent.
Must have history of excellent customer service skills exhibited by courtesy, cooperative spirit & tact when interacting w/ patients, families, & staff.
Must have M.S. Word & Excel, Health Plan knowledge & Medicare knowledge of DME guideline.
Requires typing of 40WPM
Previous knowledge of medical terminology.
ICD-9 & DME strongly preferred
Preferred Qualifications:
Basic computer skills
Customer service skills.
Foundations system experience preferred, basic knowledge of Commercial, Medicare Cost, KPSA coverage preferred.
Lotus Notes experience, DME ordering and tracking system experience preferred.
Must be competent in DOTS within 6 months of hire.
Minimum one year clerical experience required within last two years.
Good reading and writing skills required. Prior data entry experience and word processing skills preferred.
Must be able to communicate calmly in high stress situations.
Demonstrated ability to effectively communicate and negotiate resolution of problems with providers, outside vendors and levels of management.
Working knowledge of CIPS/Health Connect preferred. Skills Testing: Typing 40 WPM, Medical Terminology, and Basic Computer Literacy (BCL)
COMPANY: KAISER
TITLE: Durable Medical Equipment Clerk (Remote)
LOCATION: Walnut Creek, California
REQNUMBER: 1247036
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
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Essential Functions:
Receives, authorizes, & processes orders from Kaiser medical staff.
Verifies membership eligibility.
Enters ICD-9 & HCPC codes per CMN regulations.
Reviews medical records.
Consults w/ physicians, nurses, therapists, & Health Plan.
Answers Service Center phone line.
Serves as liaison between. (Physician, medical staff, patients, patient's family & suppliers).
Investigates & tracks pertinent information by record keeping, computer abstraction.
Continuous follow up for renewal, denial, & purchase of equipment.
Other duties as assigned.
Secondary Functions:
Answer all incoming DME phone calls from members, vendors, nurses, physicians and discharge planners and community agencies for the Service Areas.
Reviews all incoming prescription, checks for appropriate benefits using the Foundation System, prioritizes workflow and processes the prescription by either ordering the equipment or sending for clinical review.
Confers with RN over any clinical issues in which a problem arises.
Orders equipment/supplies using the DOTS system.
Participate in quality assurance activities of the department and may assist in orientation of new staff.
Grade 05
Qualifications
Basic Qualifications:
Requires minimum of one-year of customer service experience.
High School diploma or equivalent.
Must have history of excellent customer service skills exhibited by courtesy, cooperative spirit & tact when interacting w/ patients, families, & staff.
Must have M.S. Word & Excel, Health Plan knowledge & Medicare knowledge of DME guideline.
Requires typing of 40WPM
Previous knowledge of medical terminology.
ICD-9 & DME strongly preferred
Preferred Qualifications:
Basic computer skills
Customer service skills.
Foundations system experience preferred, basic knowledge of Commercial, Medicare Cost, KPSA coverage preferred.
Lotus Notes experience, DME ordering and tracking system experience preferred.
Must be competent in DOTS within 6 months of hire.
Minimum one year clerical experience required within last two years.
Good reading and writing skills required. Prior data entry experience and word processing skills preferred.
Must be able to communicate calmly in high stress situations.
Demonstrated ability to effectively communicate and negotiate resolution of problems with providers, outside vendors and levels of management.
Working knowledge of CIPS/Health Connect preferred. Skills Testing: Typing 40 WPM, Medical Terminology, and Basic Computer Literacy (BCL)
COMPANY: KAISER
TITLE: Durable Medical Equipment Clerk (Remote)
LOCATION: Walnut Creek, California
REQNUMBER: 1247036
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
Source link
Apply Now
Apply Now