DME Coordinator - JIS BOSM New Albany

OrthoAlliance Central Ohio is a unique partnership of respected orthopedic practices—each with its own legacy, specialty focus, and commitment to patient care. As part of our team, you’ll work alongside leading providers from OrthoNeuro, JIS Orthopedics, Orthopedic Foot & Ankle Center, Orthopaedic Associates of Zanesville, and Orthopedic Specialists & Sports Medicine.  You’ll be part of a collaborative network that combines decades of expertise and innovation, giving you the opportunity to grow professionally while contributing to exceptional, personalized patient care.

At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization. 

As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.  

What sets SCA Health apart isn’t just what we do, it’s how we do it. Each decision we make is rooted in seven core values: 

• Clinical quality 
• Integrity 
• Service excellence 
• Teamwork 
• Accountability 
• Continuous improvement 
• Inclusion 

Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.    

At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, https://careers.sca.health/why-sca, to learn more about our benefits.

Your ideas should inspire change. If you join our team, they will. 

As a Senior Care Advocate you will be the face of Specialist Management Solutions (SMS) to our customers. You’ll deliver a personized, empathetic consumer experience as they navigate the complexity of the healthcare system.  This will include answering questions and resolving issues in collaboration with teams across the company, healthcare providers, and insurance companies.  You will be primarily engaging with our customers telephonically, but you will develop strong relationships with them as they complete their healthcare journey. 

Responsibilities

• Predominate amount of work surrounding calling members to inform them of their benefits and act as a care guide on behalf of the customer helping them receive treatment from a network of high-quality surgeons
• Receive inbound calls from members to educate them on their benefits and provide guidance with appointment scheduling
• Assist in the coordination of care across a variety of settings, while maintaining strict confidentiality and the highest level of professionalism
• Update all systems accordingly to document member engagement
• Listen to member’s comments, concerns, and suggestions, relaying that information internally, while ensuring member satisfaction
• Collaborate with other departments and partnering companies as necessary
• Work with health insurance counterparts to answer customer questions related to benefits, claims, and billing
• Analyze a variety of problems and provide information/solutions
• Work within a team to achieve performance targets
• Other responsibilities as assigned

Position Summary: Coordinates and advises on all aspects of the DME program, including insurance and billing.  Assist patients with device fitting. Acts as a liaison between the staff, physician and DME Manager.

Position Responsibilities/Standards:

• Fit patients with prescribed orthosis; including patient evaluation, modification and fitting, training the patient on fit and function, as well as answer any questions.
• Accurately input patient information and ensure correct durable medical equipment is dispensed within the inventory management system.
• Obtain all necessary authorizations as required by Medicare, Medicaid, Worker’s Compensation, or private insurance in order to fit and bill for each orthosis.
• Assist DME manager with daily DME office operations: including (but not limited to) ordering product, maintaining Special Order Binder, stocking and organizing product in the office.
• Review and monitor inventory levels for durable medical equipment items unique to the office at least two- three times weekly and provide order quantities needed to DME office lead. Assist with monthly inventory counts as instructed by DME manager.
• Keep track of surgery schedules for each physician in the practice and make sure that each patient has the required orthosis prior to surgery, or make arrangements for DME to fit post surgically.  Also, assure that information for post-surgical application of other devices such as CPM machines are forwarded to the correct individual and confirm receipt.
• Act as the liaison between DME office and physicians on all matters involving communications, paperwork, etc.
• Attend all staff meetings and training.
• Speaking with patients regarding financial responsibility.
• Any and all other duties required for DME to be successful with the practice and patients.

• Degree or Certificate in a Health Related Field or Experience in Orthopaedic/DME Field.
• Basic computer skills including Microsoft Word, Microsoft Excel.
• Must be able to interface and work well with customers and co-workers with varying personalities and temperaments.