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Funding Specialist Lead - South Region

Full-time

Jobgether

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Funding Specialist Lead - South Region based in the United States. We are seeking an experienced Funding Specialist Lead to oversee funding operations and support teams responsible for securing insurance coverage and reimbursement for durable medical equipment and complex rehabilitation technology. In this leadership role, you will help maintain accurate documentation, ensure compliance with payer requirements, and improve processing timelines across the funding cycle. You will provide guidance, training, and quality oversight to Funding Specialists while helping resolve complex cases and operational challenges. Working closely with branch teams, healthcare professionals, clients, and insurance representatives, you will support efficient workflows and reliable funding approvals. This primarily remote position combines hands-on funding expertise with team leadership, performance monitoring, and continuous process improvement. Your work will help ensure clients receive the equipment and mobility solutions they need to support greater independence. Accountabilities: - Funding Operations: Coordinate with funding leadership, branch managers, rehabilitation technology suppliers, and office support teams to ensure operational procedures are completed accurately, consistently, and within expected timelines. - Funding Process Management: Monitor transaction cycle time from coding and pricing completion through documentation completion, ensuring each step is completed in the correct sequence to support timely, high-quality funding approvals. - Team Coverage and Operational Support: Provide funding support during employee absences, vacancies, leave periods, and other operational needs.

Assist with coding and pricing, submissions, authorization collection, quality assurance, and delivery verification tasks as required. - Documentation Collection and Review: Request, gather, and review funding documentation, including prescriptions, Letters of Medical Necessity, rehabilitation technology evaluations, price lists, assignments of benefits, advance beneficiary notices, and rental or purchase letters. - Insurance Verification and Compliance: Verify insurance coverage, communicate benefits and coverage details to clients, and ensure documentation meets applicable payer requirements and internal policies before marking work orders complete. - Stakeholder Communication: Maintain professional, timely communication with referral sources, physicians, therapists, rehabilitation technology suppliers, clients, and internal teams to obtain required documentation, resolve issues, and keep funding cases progressing. - Client Support and Financial Guidance: Keep clients informed throughout the funding process when applicable, explain financial responsibilities, coordinate collection of required payments, and guide eligible clients through hardship procedures where permitted. - Escalation and Problem Resolution: Follow documentation collection escalation procedures, investigate funding issues, coordinate corrective actions, and communicate process changes to the relevant stakeholders. - Team Leadership and Development: Provide direction, coaching, and guidance to Funding Specialists. Support training, encourage collaboration, motivate team members, and recognize strong performance. - Quality Assurance and Performance Monitoring: Conduct routine audits to identify documentation errors, coaching opportunities, and performance gaps. Help maintain high standards of accuracy, productivity, and compliance. - Process Improvement and Training: Identify best practices for obtaining clinical documentation, coordinate training opportunities, investigate discrepancies in the UPD, and recommend updates to funding procedures and payer documentation requirements.

Vacancy posted 3 days ago
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