Order Intake Specialist

Gentell is one of the largest vertically-integrated wound care companies in the world. We provide efficient, affordable, patient-specific wound treatments to patients in nursing homes, hospices, hospitals and other settings. We employ clinical specialists throughout the United States and Canada to assist with treatment recommendations and provide education about the proper utilization of wound care products. With production facilities in the United States, Canada and China, we are one of North America’s largest manufacturers of wound care supplies.

Order Intake Specialist

Under the direction and support of the Revenue Cycle Manager, the Order Intake Specialist will initiate and process all sales orders after reviewing documentation, physicians' orders, and payer information, guaranteeing dispensing of orders to patients in a timely manner.

The Order Intake Specialist requires critical thinking skills, the ability to identify problems, recommend solutions and set priorities, and achieve departmental goals. They must have a willingness to develop optimized processes to drive performance in the department and support key leadership initiatives.

Duties and Responsibilities

· Respond to incoming customer phone calls in a timely fashion

· Verify eligibility and benefits of all Medicare, Medicaid, Commercial, and Managed Care Insurances utilizing Brightree, websites available, and direct phone calls to Insurance companies.

· Contact service representatives at insurance companies to verify eligibility and DME benefits.

· Process patient demographics and create a patient profile including all insurance reimbursement information.

· Receive, review, and process orders for wound care products, following insurance qualifications and DME supplier standards.

· Review clinical documentation to ensure compliance with payer’s guidelines.

· Works with Clinical staff regarding changes on insurance orders, due to wound care product not being covered by insurance or product not qualified for wound description following LCDs.

· Ability to add correct HCPCS code(s), modifier(s), and ICD-10 code(s) to insurance order before dispensing.

Required Knowledge, Skills, and Experience

· High school Diploma.

· Strong attention to detail and accuracy.

Preferred Knowledge, Skills, and Experience

· Familiarity with MS Office Applications

· Knowledge of Payer Requirements.

· Must be able to work effectively with patients/customers, staff, and the public.

· Knowledge of patient registration, insurance billing, HCPCS coding, and ICD-10 coding LCDs, Medicare Guidelines for DME, supplier standards for DME, and accreditation standards for DME.

We are an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.

Job Type: Full-time