Durable Medical Equipment Manager for Arizona Sports Medicine Clinic Scottsdale

Description

A Durable Medical Equipment (DME) manager is responsible for overseeing the entire process of providing patients with necessary medical equipment, including assessing patient needs, selecting the appropriate equipment, managing inventory, ensuring proper fitting and usage, coordinating with healthcare providers, and handling insurance billing related to DME orders, all while adhering to compliance regulations.

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KEY DME MANAGER RESPONSIBILITIES and OVERSIGHT:

 

·         Patient assessment and needs evaluation:

Conducting thorough assessments to determine the most suitable DME for each patient based on their medical condition and lifestyle needs. 

·         Equipment selection and ordering:

Choosing the appropriate DME from a range of options and placing orders with vendors to fulfill patient needs. 

·         Insurance verification and authorization:

Checking patient insurance coverage for DME, obtaining necessary prior authorizations from insurance companies, and managing the pre-certification process. 

·         Fitting and delivery:

Ensuring proper fitting and delivery of DME to patients, including providing instructions on safe and effective usage. 

·         Patient education:

Educating patients and caregivers on the correct operation and maintenance of their DME, addressing any concerns or questions they may have. 

·         Inventory management:

Maintaining accurate inventory levels of DME, tracking usage, and managing stock rotation to prevent expired or damaged equipment. 

·         Billing and claims submission:

Preparing and submitting accurate DME claims to insurance companies, following billing codes and guidelines. 

·         Compliance management:

Staying informed about relevant DME regulations and ensuring the company adheres to all compliance standards. 

·         Quality control:

Monitoring the quality of DME provided, addressing any issues related to equipment functionality or patient satisfaction. 

·         Collaboration with healthcare providers:

Maintaining open communication with healthcare providers to coordinate patient care and ensure timely DME delivery. 

Qualifications

POSITION QUALIFICATIONS AND SKILLS REQUIRED (including required licenses/certifications, education and job knowledge/experience):

• Three or more years of experience in progressive and hands-on managerial experience in a medical practice
• Bachelor’s degree or an equivalent combination of education and experience
• Demonstrated skill using MS Office products including Excel and Word 
• Demonstrated knowledge of healthcare fiscal management and human resource management practices
• Understanding of electronic medical record and billing systems and related applications, with familiarity with ICD-9, ICD-10 and CPT codes
• Excellent written and verbal communication skills
• Ability to apply policies and principles to solve everyday problems and deal with a variety of situations. 
• Ability to establish priorities and coordinate work activities. 
• Excellent organizational skills with the ability to gather, analyze and interpret information
• Knowledge of Meaningful Use
• Strong understanding of medical equipment and its applications
• Knowledge of healthcare regulations and insurance billing procedures
• Excellent customer service skills to interact with patients and healthcare providers
• Detail-oriented and organized to manage inventory and documentation
• Effective communication skills to explain complex medical information to patients
• Ability to work independently and as part of a team