Own strategic health plan sales opportunities from deal progression through quota attainment and implementation, building executive relationships and negotiating contracts with national and regional health plans. Collaborate across teams to remove sales blockers, support marketing and positioning, represent the company at customer meetings and conferences, and develop repeatable sales processes.
You will manage the coding and documentation process for DME orders to ensure accurate billing and minimize denials. Additionally, you will lead internal chart audits and maintain compliance with payor documentation requirements.
The Credentialing Specialist will lead the intake and verification of DMEPOS supplier partners to ensure compliance with company standards. This role involves managing ongoing compliance operations, including monitoring credentials, licenses, and insurance expirations within Salesforce.
The Medical Biller will manage the revenue cycle by accurately filing claims, researching rejections, and posting payments for medical equipment. They will also support the launch of new product categories by developing and refining billing processes.
Serve as the first point of contact for patients and clinics, providing guidance on medical supply orders, refills, insurance coverage, billing, shipping, and returns. Resolve and document patient issues, coordinate with internal teams and clinics, and escalate complex cases when needed.
The Patient Experience Representative serves as the primary point of contact for patients and clinics to manage medical supply orders and insurance inquiries. They are responsible for troubleshooting issues, documenting interactions, and providing clear guidance on eligibility and coverage.
The Medical Review Nurse will evaluate DMEPOS orders and medical records to ensure compliance with CMS regulations and medical necessity. They will also serve as a liaison between healthcare providers and internal teams to address documentation gaps and improve billing quality.
