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Hill-Rom Insurance & Order Management Specialist in Batesville, Indiana


Position Summary

The Insurance/Order Management Specialist is primarily responsible for verifying insurance coverage, patient eligibility, benefits, and payer. In this role you will prepare and submit authorization requests to insurance for payment coverage You may also be responsible for proofreading all billing and medical coding to make sure there are no errors. Maintain contracts with third-party resellers used by Hillrom to sell products into the home.

This role is a dual role to include both functions of insurance authorization and order management. Order management functions include account setup, order processing/management, and delivery coordination logistics carriers (internal and external). Also responsible for driving margin targets, customer returns & credits, service contracts, and sales reporting. In addition, you will be responsible for continually driving improvements in the business that foster growth, reduce cost, and enhance our ability to meet our customer needs.

Essential Duties & Responsibilities:

  • Work collaboratively with Direct to Consumer (DTC) Representative to prepare information for payer review

  • Checks eligibility and verifies insurance information

  • Verify current eligibility/benefits of plan coverage and prior authorization process for payer

  • Confirm pay source and work with payor on authorization for the placement of Hillrom product

  • Work closely with Managed Care Directors and payers to gain approval for placement

  • Works with Accounts Receivable associates to ensure receipt of payment

  • Process all referrals within the territory for payment authorization

  • Coordinate and submit re-authorization requests

  • Performs insurance/billing clerical duties, including review and verification of patient account information program specifications

  • Needs to be familiar with rules and regulations of all third-party payers including Medicare and Government

  • Constant interaction via phone with customers

  • Ensure compliance to contracts, maintain contract database

  • Work closely with assigned sales representatives on order placement and timing of delivery to meet customer delivery requirements

  • Ensure payment terms are per contract, work with the customer, National Accounts, and Credit on discrepancies

  • Ensure timely placement of orders, manage order thru order entry to any post-delivery activities

  • Schedule deliveries into customer's home, coordinate with a service technician, 3 rd Party logistics, and the customer

  • Train new team members on roles and responsibilities

  • Participate as a team player and project a positive attitude

  • Other duties may be assigned


  • 1-2 years’ experience required with:

  • Verifications of Benefits

  • Billing and Coding of claims

  • Insurance approvals

  • Insurance contracting experience a plus

  • Excellent oral and written communication skills

  • Proven Customer Service and Sales skills

  • Ability to multi-task

  • Attention to detail and strong organizational skills

  • A drive for continuous improvement

  • Proficient in Microsoft applications specifically Outlook, Excel, and Word

  • JD Edwards and Perceptive Concept experience, preferred

  • Bachelor's degree preferred; Associate degree required

Job: Customer Support

Primary Location: United States-Indiana-Batesville

Schedule Full-time

Travel Yes, 5 % of the Time

Posting Entity Hillrom

Req ID: 21123673