Interim Funding Consultant, North Central

The Interim Funding Consultant is responsible for coordinating the intake, submission, and follow-up of new product, repair, and equipment rental orders. This individual works closely with SLPs, government agencies, and educational institutions to obtain order authorization and thoroughly reviews documents for submission ensuring they meet third party payer criteria. Candidate must live in Central or Mountain time zones to be considered for this role.

Responsibilities

Maintain communication with SLPs on funding cases and instruct SLPs on document preparation and funding policies and regulations; Work with insurance providers, government agencies, and educational institutions to place new product, repair or rental orders; Track funding authorization cases ensuring requests are resolved to completion in a timely manner; Utilize on-line resources and maintain frequent communication with funding agencies to verify eligibility; Review prior authorization documents against third party payer criteria; Research previous orders and payment history/DSOs for any repair or new order requests; Enter and complete orders in the order management system database; Serve as a client advocate by communicating with clients and family members on funding requests and co-payment requirements, representing client's case with third party insurance providers and troubleshooting any problems to resolution; Resolve third party denials and provide consultation to finalize difficult funding cases; Alert supervisor of potential third-party payer challenges; Perform various other duties as assigned

Requirements

Bachelor Degree, or 2 – 4 years related experience; Oral and written communication skills; Interpersonal, collaboration, and teaming skills; Customer service orientation; Internet navigation skills; MS Office Word and Outlook; Able to multitask in a fast-paced environment; Able to work at a desk for prolonged periods of time; Ability to work with interruptions in a fast-paced environment; Ability to travel to the Pittsburgh office for team activities/trainings (approx. 4 times per year)

Nice to have

Background in the health insurance field