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Home Medical Equipment Quality Assurance Specialist - San Antonio, TX

UnitedHealth Group

San Antonio, TX
Job Code:
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Job Details

737656 Home Medical Equipment Quality Assurance Specialist San Antonio TX

Home Medical Equipment Quality Assurance Specialist - San Antonio, TX (737656)

Position Description

Home Medical Equipment Quality Assurance Specialist, with the assistance of other QA Specialist(s), performs concurrent 100% record reviews for compliance of federal and state rules and regulations and agency policies; monitors factors which directly and indirectly influence the billing and payment for the care rendered to the Agency’s patients.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position requires the ability to maintain confidentiality of all incoming personal and private information, no exceptions.


Primary Responsibilities:

  • Performs 100% record reviews for compliance of federal and state rules and regulations and agency policies; monitors factors which directly and indirectly influence the billing and payment for the care rendered to the Agency's patients

  • Reviews that all needed information is in the Sales Order (i.e., demographics, clinicals, correct insurance, correct procedure codes, eligible diagnosis, etc.)

  • Reviews Delivery Tickets against the information in the computer (Brightree) to make sure items are billed correctly, and that the required documentation has been procured and scanned into Brightree for all branches

  • Assists with entering orders into Brightree from physician’s orders for DME Closets from all branches and performs the 100% record review on these orders

  • Assists in reviewing and confirming Pickup / Exchange tickets from all branches except for San Antonio

  • Demonstrates effective written and verbal communication

  • Complies with all agency policies and procedures.  Promotes and maintains agency environment that is in compliance with federal, state, and local regulatory guidelines

  • Participates in personal professional growth and development

  • Demonstrates flexibility, enthusiasm and willingness to cooperate while working with others or in place of others as necessary

  • Performs other duties as assigned

Required Qualifications:

  • High school education / GED

  • 2 years of experience in Home Medical Equipment (HME)

  • Basic knowledge of Excel, Outlook, and Word

  • Employee must be able to work standard department hours of 7:30am until 4:30pm


Preferred Qualifications:

  • Experience with Brightree Electronic Records program

  • Good organization, communication, human relations skills

  • Self-motivation, assertiveness and independent decision-making skills are essential

  • Must be able to read and follow written and verbal instructions in English effectively

  • Possesses ability to operate computer terminal, printer, fax and copier machines

  • Knowledge of general office procedures

  • Excellent computer skills and knowledge of word processing and Excel highly desirable

  • Maintain privacy and confidentiality with regard to all patient, staff & agency information

  • Problem solving skills

  • Interpersonal skills

  • Communication Proficiency (Oral & Written)

  • Project & Time Management skills

  • Ethical Conduct – follows appropriate chain of command

  • Adaptability & Dependability

  • Safety & Security

  • Thoroughness


Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.


Job Keywords: Home Medical Equipment, HME, Quality Assurance, QA, San Antonio, TX, Texas

Job Details

  • Contest Number737656
  • Job TitleHome Medical Equipment Quality Assurance Specialist - San Antonio, TX
  • Job FamilyBilling
  • Business SegmentOptumCare

Job Location Information

  • San Antonio, TX
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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