Amy Young

Coordinates with the Division Funding Director, Funding Manager, Funding Supervisor, Branch Manager, Rehabilitation Technology Supplier (RTS), and other office support personnel to ensure all operational procedures are completed in accordance with company policy and within expected time frames. Responsible for the thorough review of orders to ensure accuracy and providing education to Funding Specialists when errors are identified.

Develops and maintains working knowledge of current durable medical equipment and policies and procedures held by National Seating & Mobility as well as all applicable insurance guidelines regarding eligibility for coverage and reimbursement.

2. Ensures compliance with National Seating & Mobility policies and procedures.

3. Manages transaction cycle time (TCT) from Coding and Pricing Complete to Documentation Complete, making certain that all necessary steps are taken in the appropriate order ensuring timeliness of process and quality of funding approval.

4. Supports the Funding Specialist position due to PTO, LOA, FMLA, open positions and any other need as identified by the Division Funding Director, Funding Manager or Funding Supervisor.

a. Communicates regularly and professionally with Referral sources, Physicians, Therapists, RTSs, and Clients to secure documentation as required by payer.

b. Meets quality documentation follow-up attempt frequency and quality per policy following the escalation process. When necessary, attempts are to be made more often and as directed by the Funding Manager or Funding Supervisor.

c. Requests, gathers, and reviews documentation for funding package and deferrals, including but not limited to:

proper prescriptions, Letters of Medical Necessity (LMN), RTS evaluation information, price lists, forms (AOB, ABN, rent or purchase letter).

d. Thorough review of all documentation received ensuring payer guidelines are met must be completed prior to satisfying the document in the work order. When documentation is not complete or accurate, immediate contact with the Referral source, Physician, Therapist, RTS, and/or Client to discuss and educate is required.

e. Gathers and verifies insurance coverage information and communicates benefits and coverage information to client.

f. Maintains communication with client throughout the process when applicable, including notifying them of and collecting financial responsibility or guiding them through the hardship process, where allowed.

g. Responsible for relationship management and funding related communication with Referral sources, Physicians, Therapists, RTSs, Clients and other internal and external customers.

h. Follows the document collection Escalation Policy and communicates with all necessary parties per the guidelines.

i. Communicates changes and escalations in the process and collects needed information from branch personnel, Referral sources, Physicians, Therapists, RTSs, and Clients.

j. Coordinates with other funding areas and responsible for completing all tasks that need a Funding Action Required. This includes, but is not limited to, all communication with Referral sources, Physicians, Therapists, RTSs, and Clients.

k. Investigates and requests update of payer documentation requirements in the UPD.

. Ability to investigate issues and solve problems and concerns regarding any aspect of the Funding process.

m. Completes other Funding tasks, as needed, including Coding and Pricing, Submissions, Authorization collection, PPQA and Delivery Verifications

5. Provides direction, instructions, and guidance to staff to achieve goals based on management direction.

6. Ability to quickly learn and adapt to new assignments. Assists in documenting any best practices with clinicians for properly documentation procurement and identifies and coordinates any training opportunities, opportunities for improvements and UPD discrepancies or updates.

7. Facilitates problem solving and collaborations.

8. Motivates and inspires team members.

9. Recognizes and celebrates team and team member accomplishments and exceptional performance.

10. Assists in resolving customer complaints and concerns.

11. Assists in fielding billing and payer concerns and correspondence.

12. Supports the Division Funding Director, Funding Manager or Funding Supervisor in performance monitoring and evaluation process.

13. Communicates team status, task accomplishment and direction to management.

14. Performs routine auditing to assist in identifying coaching opportunities; Ensures the performance of staff is of a high standard.

15. Occasionally may assist with new business acquisitions, branches that have temporary needs for processing.

16. Performs other related duties and special assignments as requested.

• Supervised students and maintained security throughout school buildings and on field trips.
• Provided students with personalized educational, behavioral and emotional support.
• Performed diverse tasks for teachers, including clerical support, classroom management and document coordination.
• Supplied one-on-one attention to each student while maintaining overall focus on entire group.
• Conducted small group and individual classroom activities based on differentiated learning needs.
• Communicated effectively with educators from various grade levels.

• Documented patient intake and dietary requirements, also assisting with feeding and monitoring.
• Conducted routine checks on standard patient vitals, including blood pressure, blood sugar and heart rate.
• Responded to patient alarms and needs-assessment requests to identify course of treatment.
• Assisted patients with shaving, bathing and oral hygiene to promote healthy habits and overall wellness.
• Fostered relationships with patients, caregivers and healthcare teams to achieve individual care plan targets.
• Engaged with patient family and friends to provide courteous, efficient visit experience.
• Rendered hands-on nursing care under direct RN supervision, adhering to medical center policies and procedures.
• Documented information in patient charts and communicated status updates to interdisciplinary care team.
• Exhibited compassionate care and communication regarding issues surrounding death and dying.

• Assisted upper management with daily operations to meet standards of service and quality.
• Completed opening and closing duties to facilitate business operations.
• Collaborated with team members to improve performance and implement training updates.
• Transformed work area by increasing production, reducing turnover, eliminating waste and enhancing quality.
• Performed opening and closing procedures including setting up registers and arranging products to keep facility operations-ready.
• Resolved customer complaints and reported issues to senior management.
• Kept areas clean, neat and inspection-ready at all times to comply with product guidelines.