DME Care Specialist (Remote In FL, GA & KY)
Job description
The DME Care Specialist is a key role focused on delivering exceptional support to patients and providers throughout the durable medical equipment (DME) process. This position emphasizes superior customer service, operational excellence, and a deep understanding of insurance procedures, particularly related to authorizations and documentation. The ideal candidate is a highly organized problem-solver with strong interpersonal skills and a commitment to high-quality care coordination.
Compensation starts at $22/hour, with a generous bonus structure based on Ready-to-Bill (RTB) case volume.
Essential Duties and Responsibilities
Patient Care and Support:
Verify patient insurance coverage and eligibility.
Review medical records to determine the need for prior authorization.
Submit and follow up on prior authorization requests with insurance companies.
Provide timely updates to patients and healthcare providers regarding authorization statuses.
Collaborate with providers to obtain all necessary documentation for authorizations.
Maintain accurate records of all care coordination and authorization activities.
Stay current with insurance policies and guidelines related to DME services.
Communicate effectively with insurance representatives to resolve authorization issues.
Support internal operations personnel with case coordination and process questions.
Ensure compliance with HIPAA and all applicable healthcare regulations.
Minimum Qualifications:
3+ years of experience as a DME Care Coordinator or equivalent.
Experience working with workers’ compensation insurance.
High school diploma or equivalent required; Associate degree preferred.
Strong knowledge of insurance verification, prior authorizations, and medical documentation requirements.
Familiarity with ICD-10 coding and medical terminology.
Proficiency with Microsoft Office and healthcare software systems.
Excellent organizational and time management skills.
Ability to work independently, prioritize tasks, and manage high-volume workflows.
Strong written and verbal communication skills.
Demonstrated problem-solving and critical thinking abilities.
Working knowledge of HIPAA regulations and patient privacy laws.
Strong customer service orientation and professional demeanor.
Candidate Skills:
Positive attitude and willingness to treat every patient and provider like a member of your family.
Clear, professional communication with both peers and management.
Ability to remain composed and efficient in high-pressure situations.
Desire for continuous learning and improvement.
High ethical standards and a team-oriented mindset.
Job Type: Full-time
Pay: From $22.00 per hour
Expected hours: 40 per week
Benefits:
401(k)
Health insurance
Paid time off
Schedule:
8 hour shift
Day shift
Monday to Friday
Work Location: Remote in Florida, Georgia & Kentucky
