By joining Numotion, you will be a part of the nation's leading provider of Complex Rehabilitation Technology. Numotion is helping thousands of people with individually configured, medically necessary mobility products and services. From manual and powered wheelchairs to disposable medical supplies that serve unique medical and functional needs, we are improving the lives of people with disabilities by enabling them to actively participate in everyday life. Maintaining our standing as the industry leader in CRT comes from having a workforce with a diverse mix of minds, backgrounds and experiences, and we are committed to cultivating an inclusive work environment based on open dialogue, active listening and ongoing definitive actions. JOB PURPOSE: The Clinical Support Specialist II provides clinical support by generating documentation of equipment justification based on the ATPs evaluation to ensure funding of both basic and complex rehab equipment. The Clinical Support Specialist II also supports the Clinical Review Team with Denial Management. In this position, the Clinical Support Specialist II may provide clinical feedback to the ATPs if equipment justification does not support the equipment chosen. KEY RESPONSIBILITIES: Review documentation, including evaluation notes, quotes and where present Occupational Therapy notes, RX and any other relevant information on rehab equipment for clinical appropriateness. Check manufacturer specifications for clarification on equipment as necessary. Contact Remote Technicians (RTS), Assistive Technology Professionals (ATPs), Customer Care Coordinators (CCCs) and Document Funding Center (DFC) staff as necessary for clarification on equipment, customer, and Payer requirements. Generates appropriate physician order documentation to ensure funding approval and reimbursement. Drive compliance in accordance with Payers and the organization’s policies and applicable laws. Provide verbal and written clinical feedback to Referral Sources, Assistive Technology Professionals (ATPs), Customer Care Coordinators (CCCs), and Document Funding Center (DFC) staff on order/denial resolution. Identify gaps/trends and develop training for Numotion staff and outside referral sources on order specific educational opportunities as well as broader educational initiatives regarding Payer specific justification expectations. Maintain consistent and accurate follow-up in a timely manner on all assigned orders. Support the Clinical Review Team, when necessary, with denial reviews and education. Utilize Numotion Leadership Principles to perform job with integrity, compliance, and values consistent with Numotion’ s mission. Adhere to employee or customer confidentiality and comply with Numotion’ s policies and federal regulations. Always provide excellent customer service for all internal and external customers of the operations. Provide solutions for customer concerns and continually focus on customer service as our top priority. The above duties and responsibilities are not an all-inclusive list but rather a general representation of the duties and responsibilities associated with this position. The duties and responsibilities will be subject to change based on organizational needs and/or as deemed necessary by management. REQUIRED QUALIFICATIONS, SKILLS, AND EXPERIENCE: Bachelor’s degree in management or related discipline or an equivalent combination of education and directly relevant experience may be considered. Four (4) years of experience in order processing. Six (6) months medical documentation review experience or training. Proficiency in Microsoft Office Suite. Solid critical thinking and problem-solving skills. PREFERRED COMPETENCIES AND QUALIFICATIONS: Knowledge of mobility and accessibility equipment and products. Preferred understanding of the mobility and accessibility equipment industry and the third-party payer system. Ability to communicate effectively. Ability to work in a fast-paced environment and juggle multiple priorities. Solid written and verbal communication, listening, organization and priority setting skills. At Numotion, we offer competitive compensation packages, including medical, dental and vision insurance, short-term and long-term disability, a 401k, and life insurance. Numotion is an equal opportunity employer. We strive for a workplace that reflects the communities we serve and do not tolerate discrimination against our employees, customers, and partners regardless of ethnicity, disability, gender identity, sexual orientation, religion, age, citizenship, marital or veteran status. Numotion is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Required Skills Required Experience Qualifications: Strong computer skills with emphasis on Excel and Website navigation Excellent Customer Service skills PHYSICAL REQUIREMENTS: The person in this position will frequently lift and/or move up to 70lbs using manual and PIT Equipment.
