Specialist, Qualifications- ($17-$21/hr.)

Who We Are At Synapse Health, we're streamlining the durable medical equipment (DME) process. We manage intake, documentation, routing, claims, billing, and patient support. Our model reshapes how DME is delivered and experienced. Who We Are At Synapse Health, we're streamlining the durable medical equipment (DME) process. We manage intake, documentation, routing, claims, billing, and patient support. Our model reshapes how DME is delivered and experienced. Since 2016, with decades of industry and leadership experience, we've delivered tech-based solutions that help our partners to modernize operations, improve coordination, and reduce administrative burdens. By taking on operational and financial complexity, we're redefining how DME works for providers, prescribers, and patients. We are proud to offer work that matters, on a mission that matters. Learn more at SynapseHealth.com and on Synapse Health’s LinkedIn. What We Need As a Specialist, Qualifications within the Customer Connect Center (CCC) at Synapse Health, you serve as a critical gatekeeper of clinical accuracy, documentation quality, and regulatory compliance. You are responsible for reviewing, validating, and maintaining medical documentation to ensure orders meet payer, clinical, and operational requirements before fulfillment. In this role, you regularly interact with physician offices and, at times, prescribing providers to obtain, clarify, and validate clinical information. Your ability to efficiently interpret medical records, apply insurance and payer guidelines, and identify documentation gaps is essential to ensuring clean, timely, and compliant DME order processing. This position is fully onsite in the Synapse Health office in Brentwood, TN (37027). What You Will Do Manage incoming referrals, ensuring all required clinical and supporting documentation is obtained within established timelines. Review, record, and maintain all incoming orders and documentation within electronic medical records and document management systems. Coordinate and process precertification and recertification requirements for Durable Medical Equipment (DME). Apply payer and insurance provider guidelines to #J-18808-Ljbffr Synapse Health