National Seating & Mobility · 11 hours ago
MIR Specialist - West Region
United States
Full-time
Remote
Mid Level
3+ years expNational Seating & Mobility is dedicated to providing mobility solutions that enhance the lives of their clients. The MIR Specialist is responsible for coordinating with various stakeholders to ensure operational procedures are followed, managing order corrections, and gathering necessary documentation for funding packages.
HealthcareInformation TechnologyHealth CareMedical
Responsibilities
Responsible for problem-solving, correcting, and reworking any order that is unable to be billed or has resulted in a claim denial due to missing or incorrect information
Ensures the accuracy of and completes updates to all required coding, modifiers and pricing
Verifies client benefits and coverage and communicates benefit information to client
Gathers and reviews documentation for payer, including but not limited to: proper prescriptions, Letters of Medical Necessity (LMN), RTS evaluation information, price lists, forms (AOB, ABN, rent or purchase letter)
Communicates regularly with Physicians, Therapists, RTSs, and Clients in an effort to secure documentation as required by payer
Communicates changes and escalations in the process and collects needed information from branch personnel, Referral sources, Physicians, Therapists, RTSs, and Clients
Investigates and updates any payer requirements
Maintains communication with client throughout the process when applicable, including notifying them of financial responsibility
Coordinates with branch staff to secure pick up and redelivery documentation as required
When appropriate, discusses and secures approvals to write off or adjust balances
Communicate with Billing and Collection team to ensure that timely filing deadlines are met and/or to resolve any clarification on MIRs
Properly noting and closing MIRs with a complete and thorough response through the Funding Portal and Mobility Advisor
Performs any related job duties assigned by the MIR Manager. Carries out all position expectations in a professional manner and with minimal supervision
Responsible to complete all continuing education requirements to include assigned NSM University courses
Must maintain regular and predictable attendance
Qualification
Required
Has minimum of 3 years of experience related to Durable Medical Equipment and/or Complex Rehab Technology required, preferred experience in all aspects of a Funding Specialist's position including how to process both Repairs and Non-Repairs
Has extensive knowledge of the process and insurance guidelines to secure funding for Durable Medical Equipment and/or Complex Rehab Technology including comprehensive knowledge of insurance verification for DME
Proficient in Microsoft Excel, Word, and Outlook
Strong ability to problem solve, knowledge of NSM P&P and ability to interpret and follow payer guidelines and all Policies and Procedures
Benefits
401k
Company paid Long Term Disability
Tuition reimbursement
Company
National Seating & Mobility
Provide the highest quality seating and powered/unpowered wheeled mobility devices, plus a wide variety of adaptive technologies.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2019-10-07Acquired
Leadership Team
Charles Bodner
Chief Financial Officer
Ann Mahaffey
Senior Vice President
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