Financial Funding Consultant

Reference #: JRWho we are: At Tobii Dynavox, we empower people with disabilities to do what they once did or never thought possible. We call this mission Power to Be You. Our assistive communication technology helps our customers express themselves, connect with the world, and pursue independence, whether through everyday activities like ordering food or extraordinary feats like running a company. Working at Tobii Dynavox, you'll become part of a team that spans the globe, with offices in the US, Sweden, France, the UK, China, and beyond. To learn more about what we make possible, meet some of our customers or take a look at some of our products. What you'll do: Our technology has life-changing impact on people with communication and mobility challenges by giving them a voice. Our Funding Team helps to make that impact possible by navigating the complex legal landscape of healthcare financing. JOB SUMMARY: The Financial Funding Consultant serves as an in-house expert to the Prior Authorization team on the intake, submission, and follow-up of new product, repair, and rental orders. Performs role of the Funding Consultant while focusing on post funding claims cases, reimbursement issues or supporting financial processes, such as waiting copay and letters of agreement with insurance providers. This position is measured on waiting copay cases that close/resolve, LOA/SCA and claims resolutions to support reimbursement, lowering write offs and increasing clean claims. KEY RESPONSIBILITIES: Review Prior authorization documents to ensure compliance with third party payer criteria. Performs the role of a Funding Consultant when applicable, while serving as a coach to the team Serve as an in-house expert or second level review consultant on Medicare, Medicaid, and other third-party payer requirements. In collaboration with the Manager Order Management & Prior Authorization, discuss copay options with families, negotiate letters of agreement and help to solve post funding claims issues. including AMD, OMI, Sales Force, Great Plains/ERP, and older historical TD systems. Discuss financial information over the phone/email with families. Discuss and negotiate rates for letters of agreement, following our policies and procedures. Assist in resolving claims challenges and identifies process improvement areas between funding and billing/collections teams. Assist in other areas of the pipeline, with the possibility of working a caseload if necessary or needed. Ability to note all correspondence with the patient/family, doctor office, insurance company, recommender in the patients account utilizing the appropriate standard note format. Complies with all applicable Tobii Dynavox policies, procedures, and protocols. Complies with all current government regulations and professional standards respecting patient care. Maintains a positive, empathetic, and professional attitude toward all TD customers at all times including insurance representatives, patients and health care professionals. Participates in educational training on an ongoing basis to maintain knowledge and competency in the insurances, finances and policies processed by the company. Perform various other tasks as assigned. MINIMUM QUALIFICATIONS: EDUCATION / EXPERIENCE REQUIREMENTS: Bachelor Degree, or 2 - 4 years related health care experience 5 years of customer service/ third party payer experience Knowledge of reimbursement and claims within our national coverage. Ability to independently manage work, prioritize and communicate with multiple departments within Tobii Dynavox. COMMUNICATION SKILLS: Strong oral and written communication skills Interpersonal, collaboration, and teaming skills Strong customer service orientation, including phone work. COMPUTER OR TECHNICAL SKILLS: Internet navigation skills MS Office Word and Outlook AMD knowledge OTHER SKILLS/KNOWLEDGE REQUIREMENTS: Proven time management, organization l skills, multi-tasking, prioritization, and follow-up skills in a rapidly changing environment Ability to work in a fast-paced environment. Ability to work independently, while being a productivememberof the tea PHYSICAL REQUIREMENTS: See, hear and speak Able to sit, stand, walk, and reach Ability to lift and/or move up to 10 pounds WORK ENVIRONMENT REQUIREMENT: Able to work at a desk for prolonged periods of time. Ability to work with interruptions in a fast-paced environment. Ability to take and make phone calls Where we stand: We believe diversity not only enriches our workplace culture, but also gives us a strategic advantage. Working with people from a variety of backgrounds and perspectives helps us all become better communicators, better problem solvers, and better human beings. Our differences make us stronger. "Tobii Dynavox values equality of opportunity, human dignity, and racial/ethnic and cultural diversity. Tobii Dynavox does not discriminate against individuals on the basis of race, color, sex, sexual orientation, gender identity, religion, disability, age, veteran status, ancestry, or national or ethnic origin. Equal Opportunity Employer/AA Women/Minorities/Veterans/Disabled"

Created: 2024-11-12