[Hiring] Durable Medical Equipment Advocate @CHS

Role Description

The Durable Medical Equipment Advocate is a non-clinical position that assists the clinical Care Coordinator (CC) staff in supporting members with chronic clinical conditions for the Medically Complex Children’s Waiver (MCCW) program in South Carolina.

Responsibilities

• Documents information into the SCDHHS electronic health record for all contacts with members and/or their authorized representative, doctors’ office staff, or other stakeholders.
• Act as a liaison between other employees, providers, and participant families.
• Accurately log DME information for tracking purposes on internal databases.
• Communicate with members and their authorized representatives to ensure information is up to date.
• Conduct research and initiate outreach to members, authorized representatives, DME providers, physicians, and other stakeholders to coordinate care, schedule services, process orders, and gather all necessary information to assist with requested DME needs.
• Consistently follows up with all stakeholders until final resolution is achieved.
• Collaborates with external partners, Care Coordinators, and Care Advocates to deliver exceptional service to participants and their authorized representatives.
• Accurately prepares and maintains referral, denial, cost sheet, and any other supporting documentation for DME orders.
• Monitors participants eligibility status.
• Receives information regarding participant via facsimile, telephone, email, and text message.
• Will have access and manage PHI in accordance with federal and state requirements (HIPAA, HITECH).

Qualifications

• Strong organizational and interpersonal skills.
• Excellent written and verbal communication skills.
• Detail oriented.
• Ability to multi-task and work independently.
• Strong competency in Microsoft Office products including Word and Excel.
• Demonstrates exceptional customer service skills.

Requirements

• A high school diploma or equivalent is required.
• A minimum of two (2) years of work experience in a medical office setting.
• Knowledge of medical terminology is required.
• Prior DME experience preferred but not required.
• Demonstrates strong data management skills, including organizing, maintaining, and retrieving information efficiently.
• Strong customer service/telephone skills.
• Ability to multi-task and work independently while exercising initiative, problem-solving, and decision-making capabilities.
• Knowledge of Medicaid guidelines and processes preferred.
• Proficiency using software programs such as Microsoft Word, Excel, Outlook, and Adobe.

Benefits

• Work is performed in an office environment.
• Employee is regularly required to maintain active customer and employee communication.
• Access, input, and retrieve information from the computer system.
• Enter alpha-numeric data into a computerized system often while listening on the telephone.
• May be subject to repetitive motion such as typing, data entry, and sustained visual attention to monitors.
• May be subject to bending, reaching, kneeling, stooping, and lifting up to thirty (30) pounds.