“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.

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, Excell, 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

PERKS:

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

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!

Company Website https://supercarehealth.com/

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

LinkedIn https://www.linkedin.com/company/273667/admin/

Twitter https://twitter.com/SuperCareHealth

Facebook https://www.facebook.com/SuperCareHealth/

Instagram https://www.instagram.com/supercarehealth/ Cassandra Cooper - Talent Acquisition LinkedIn