Job Description

“Improving the lives of those with chronic care diseases while providing solutions to our customers."

Looking for a new opportunity? At SuperCare Health you have the chance to reach your dreams by helping us in serving the healthcare needs of our ever-growing patient population. Matching passion with careers, here hard work has never been so satisfying.

**Please note: While the position is remote, employees might be asked to go into the office for special projects or at managers discretion** Who we are:

SuperCare Health is the leading post-acute, in-home respiratory care provider in the Western U.S. that has been serving the healthcare needs or our ever-growing patient population for nearly 50 years. We specialize in respiratory and chronic disease management, delivering innovate solutions to enhance the quality of life for our patients. Our commitment to excellence has made us a trusted partner for healthcare providers across the nation.

Essential Duties:

Under the general supervision of the Medical Necessity Supervisor, a Medical Necessity Specialist is responsible for maintaining a positive, helpful attitude and approach in providing excellent customer service to all customers which include; patients, clients, referral sources, physicians, and sales representatives in verifying benefits and coverage with the health plan, sending out and obtaining medical necessity documentations in a timely manner.

Responsibilities:

• Responsible for creating, sending out and/or obtaining all medical necessity documentations in a timely manner and log information in the system.
• Maintains and updates all medical necessity information in the system such as patient information, payer changes, and other information to support billing process.
• Communicates with physicians offices, medical groups, MSO, and health plans on a daily basis for medical necessity documentation and for the continuation of patient equipment.
• Communicates to Lead or Supervisor or Manager regarding progress, updates, problems, error trends, new findings, inaccurate or untimely claim submission, and others in a timely manner.
• Maintains a daily follow-up system and checks the starting & expiring dates of medical necessity documentations.
• Submits appropriate documentation such as prescription, labs results, medical justification, authorization, eligibility, and others as necessary and applicable in a timely manner.
• Works on Hold Revenue report, group projects, goals and renewal process. 
• Maintains accurate and complete daily productivity report.
• Performs other duties as assigned.
• Remains knowledgeable on product and insurance coverage issues in order to inform
• patients of copays and other benefit information
• Attends all departmental meetings, company meetings, and in-services
• Reports to work daily and is ready to work at the scheduled start time
• Works Saturday assignment as needed or scheduled
• Performs any other duties that may be requested by supervisor or management
• Understand and adheres to all of SuperCare Health company policies
• To remain knowledgeable to date on all products, guidelines and insurance coverage trends
• Maintain a professional safe and clean work environment.
• Understand and adheres to all of SuperCare Health company policies.
• Perform all other duties as assigned and required
• Must meet minimum of monthly goals

Education and or Work Experience:

• Experience with Medical Supply Company
• Knowledge of diagnosis and Medical terminology
• Excellent Customer Service skills
• Detail oriented
• Proficiency in Microsoft Word, Excel, Outlook, and PowerPoint
• Experience in healthcare, medical and/or HME industry (preferred)
• Be able to work on multiple tasks. Plan and prioritize actives to achieve results and meet deadlines
• Strong organizational skills and detail oriented

Benefits:

• Medical
• Dental
• Vision
• Flexible Savings Account
• 401K
• Voluntary Life Insurance
• Observed Holidays: New Year's Day, Memorial Day, July 4th, Labor Day, Thanksgiving Day, Christmas Day.

Perks:

• Paid Training
• Paid Time Off
• Sick Time
• Growth Opportunities
• Employee Referral Reward Program
• Employee Discount Program

Any employment proposal is contingent upon satisfactory completion of: Background Check, Reference Check(s), Driving Record (if applicable), Pre-employment Drug and TB Tests

What SuperCare Health is About 

 "SuperCare Health is a comprehensive, post- acute care, respiratory services company, focused on managing high-risk respiratory patients in their homes.

Today, SuperCare health manages millions of lives annually, with a growing team of more than 400 members, and has one of the highest-rated satisfaction scores from both our customers and patients.

Our goal is to be the most trusted and preferred resource to manage high-risk, post-acute respiratory patients through our high-touch clinical team and high-tech, innovative solutions. Our end-to- end care solutions, from the hospital to the home, close gaps in care, reduce costs of care and improve outcomes. Our in-home services include ventilation, oxygen, CPAP/BiPAP, enteral nutrition, pharmacy services, and an expanding population health program. 

We are uniquely structured to be a responsive and agile community provider, yet we also possess the stability and effectiveness of a large enterprise. As a thriving business, our chief focus is on what really matters: reducing hospital re-admissions, optimizing outcomes and improving the lives of patients with chronic care diseases, every day.``

Connect With Us!

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Company Business Hours - 8:30 AM – 5:30 PM PST

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Job Tags

Remote job, Full time, Work experience placement, Work at office, Flexible hours, Saturday,

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