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Providence Health & Services Access Services Rep - HME Care Specialist 1 in Portland, Oregon

Description:

Providence is calling a Rep-HME Care Specialist 1 - Durable Medical Equipment Access Services (1.0 FTE, Days Full-Time) to Providence Home Service Building in Portland, OR

Apply today! Applicants that meet qualifications will receive a text message with some additional questions from our Modern Hire system.

We are seeking a Rep-HME Care Specialist 1 - Durable Medical Equipment Access Services that will provide first line communication with a variety of customers, referral sources, and clinicians to facilitate ordering and delivery of home medical equipment (HME) products, supplies and services. The HME Care Specialist I educates customers on a broad portfolio of HME products, supplies and services, and provides basic technical support as needed. The HME Care Specialist I is responsible to recommend medically appropriate, cost-effective HME to meet the homecare, mobility, testing, and respiratory needs of customers. The HME Care Specialist I ensures HME is successfully supplied and reimbursed through accurate patient data collection and entry, evaluation of medical necessity, obtaining insurance authorization, and delivery coordination with logistics teams. This position concentrates in one or more home medical equipment specialties which may include, Core Equipment, Respiratory Services, Diabetic Supply Services, Nutrition Services, Order Qualification, HME Storefront, Customer Care Representative, High Value Patient Accounts, Special Provider Liaison, Claims and Quality Account Management, and HME Network Reimbursement.

In this position you will have the following responsibilities:

  • Provide first line communication with a variety of customers, referral sources, and clinicians to facilitate ordering and delivery of home medical equipment (HME) products, supplies and services

  • Communicate, educate and advise patients and clinicians on a broad portfolio of HME products, supplies and services

  • Recommend medically appropriate, cost-effective products, supplies or services to meet individual patient requirements

  • Provide basic technical support for HME products and supplies

  • Obtain minimum data sets from referral sources required to process HME orders

  • Complete order entry in transaction system for delivery of HME orders

  • Perform insurance eligibility and benefit verification, and obtain insurance authorization required for HME reimbursement

  • Perform medical necessity evaluation of HME orders including interpretation of diagnosis, physician record, and payer medical policy

  • Gather all medical documentation required for medical necessity interpretation

Qualifications:

Required qualifications for this position includes:

  • One (1) year Customer service experience

Preferred qualifications for this position includes:

  • Associate's Degree -OR- Bachelor's Degree

  • Medical Terminology and Medical Coding certification

  • One (1) year experience in a patient-facing healthcare environment -OR- insurance registration -OR- insurance billing

  • Two (2) years Customer service experience

About Providence in Oregon

As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.

The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,

"Providence will provide the best care and service to every person, every time."

Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Patient Services

Location: Oregon-Portland

Req ID: 313538

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