Order Processing Specialist, Case Management

Order Processing Specialist, Case Management
At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC).
MSC is a 13-time recipient of the NorthCoast 99 Award as a Top Workplace to work.
MSC is a two-time recipient of the National HME Excellence Award for Best Home Medical Equipment company in the US.
In addition, MSC is proud to debut on the Inc. 5000 list in 2024.
Join Our Team
We are hiring for a full-time hybrid position.
Work in our office location on Tuesdays, Wednesdays, and Thursdays, and enjoy the flexibility of remote work on other days.
Benefits included
Starting at $16.70/hr
Benefits
Competitive Pay
Advancement Opportunities
Medical, Dental & Vision Insurance
HSA Account w/Company Contribution
Pet Insurance
Company provided Life and AD&D insurance
Short-Term and Long-Term Disability
Tuition Reimbursement Program
Employee Assistance Program (EAP)
Employee Referral Bonus Program
Social Recognition Program
Employee Engagement Opportunities
CALM App
401k (with a matching program) / Roth IRA
Company Discounts
Payactiv/On-Demand Pay
Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays
General
Responsible for processing and qualification of new orders related to Respiratory and Durable Medical Equipment, to ensure orders are qualified to submit clean billable claims and provide excellent customer care.
Responsibilities
Manage high volume of same day urgent orders.
Review all inbound documents received.
Make outbound calls to physician offices and hospitals to request pending documentation necessary for qualification.
Verify patient demographic information.
Confirm and validate insurance coverage.
Review benefits for patients and/or their families.
Collect method of payment when applicable based on equipment and insurance guidelines required by MSC protocol.
Excellent communication skills to interact with customers over the phone and provide support.
Ability to accurately document patient and referral interactions, inducing issue descriptions, resolutions, and follow-up actions taken.
Responsible for meeting personal and team qualitative and quantitative targets.
Consistently utilize Medical Service Company's designated tools developed for this position.
Knowledge of privacy and data protection regulations, such as the Health Insurance Portability and Accountability Act (HIPAA).
Ability to work effectively as part of a team, collaborating with other contact center specialists, technicians, and healthcare professionals.
Schedule Deliveries.
Generate and review medical necessity forms to ensure compliance and enter for billing purposes.
Strong organizational skills to manage multiple customers' enquiries and manage tasks simultaneously.
Perform other duties as assigned.
Qualifications
Education: Graduate of an accredited high school.
Experience/Knowledge/Skills/Physical Requirements
Minimum of 1 year of progressively responsible customer service experience preferred.
Customer oriented with excellent oral and written communication skills.
Pleasant personality with excellent phone and interpersonal and organizational skills (a team player).
Ability to organize and coordinate multiple tasks.
Build sustainable relationships and engage customers by taking the extra mile.
Self-Starter
Works well independently
Starting
Starting at $16.70/hr
Seniority level
Entry level
Employment type
Full-time
Job function
Other
Industries
Hospitals and Health Care
Location: Cleveland, OH
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