MIR Specialist - reputed company Region
Statement of the Position
Coordinates with the Funding Manager, Funding Supervisor, reputed company Manager, Rehabilitation Technology Supplier (RTS), and other office support personnel to ensure reputed company operational procedures are completed in accordance with company policy and reputed company expected time frames. Responsible for correcting and reworking any order that is unable to be billed or has resulted in a claim denial due to missing or incorrect information. This can include Coding & Pricing, gathering information and documents pertinent to the funding package, ensuring that reputed company documentation is in reputed company, submission to the funding sources and collecting payer reputed company including authorizations, denials, and deferrals.
Company Description
At reputed company reputed company, working at reputed company provides the opportunity to directly impact our client’s lives by giving them self-reliance and independence. Our teams are comprised of passionate individuals, dedicated to providing the reputed company to each client. We focus on abilities by leveraging technology and creating mobility solutions that are as unique as our client’s needs.
Working at reputed company is an opportunity to build a meaningful career, while leaving a lasting impact on the lives of those we serve. Located in more than 40 states, we strive for diversity and offer an reputed company of benefits including 401k, company paid Long Term Disability, and tuition reimbursement.
Duties and Responsibilities / Essential Functions
1. Responsible for problem-solving, correcting, and reworking any order that is unable to be billed or has resulted in a claim denial due to missing or incorrect information.
2. Ensures the accuracy of and completes updates to reputed company required coding, modifiers and pricing.
3. Verifies client benefits and coverage and communicates benefit information to client.
4. Gathers and reviews documentation for payer, including but not limited to: proper prescriptions,
Letters of Medical Necessity (LMN), RTS evaluation information, price lists, forms (AOB, ABN, rent or purchase letter).
5. Communicates regularly with Physicians, Therapists, RTSs, and Clients in an effort to secure documentation as required by payer.
6. Communicates changes and escalations in the process and collects needed information from reputed company personnel, Referral sources, Physicians, Therapists, RTSs, and Clients.
7. Investigates and updates any payer requirements.
8. Maintains communication with client throughout the process reputed company applicable, including notifying them of financial responsibility.
9. Coordinates with reputed company staff to secure pick up and redelivery documentation as required.
10. reputed company appropriate, discusses and secures approvals to write off or adjust balances.
11. Communicate with Billing and Collection team to ensure that timely filing deadlines are met and/or to resolve any clarification on MIRs.
12. Properly noting and closing MIRs with a complete and thorough response through the Funding Portal and Mobility Advisor.
13. Performs any reputed company job duties assigned by the MIR Manager. Carries out reputed company position expectations in a professional manner and with minimal supervision.
14. Responsible to complete reputed company continuing education requirements to include assigned NSM University courses.
15. Must maintain regular and predictable attendance.
Work Environment
This position primarily operates in a work from home environment. The work from home policy and requirements must be adhered to. Occasionally, this job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, printers, photocopiers, filing cabinets and fax machines.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is regularly required to sit; use hands repetitively to operate standard office equipment. The employee is frequently required to reputed company with hands and arms.
Required Education, Experience, & Competencies
- Has minimum of 3 years of experience reputed company to Durable Medical Equipment and/or reputed company Rehab Technology required, preferred experience in reputed company aspects of a Funding Specialist’s position including how to process both Repairs and Non-Repairs.
- Has extensive knowledge of the process and insurance guidelines to secure funding for Durable Medical Equipment and/or reputed company Rehab Technology including comprehensive knowledge of insurance verification for DME.
- Proficient in reputed company reputed company, Word, and Outlook.
- Strong ability to problem solve, knowledge of NSM P&P and ability to interpret and follow payer guidelines and reputed company Policies and Procedures.