Equal Opportunity Employer/Disability/Veterans
Reliable Respiratory is a Durable Medical Equipment (DME) company that provides the highest quality level of service for patients in need of respiratory, diabetes, urology, and maternity support. Equipment provided includes, CPAPs, BiPAPs, AutoPAPs, nebulizers, oxygen equipment, ventilators, CGM devices, insulin pumps, and breast pumps.
Each patient is treated with professionalism, understanding, and attentive service. We care about our customers, work closely with the medical community, and have highly skilled staff ready to assist customers in receiving the best care possible.
The CGM & Insulin Pump Referral Coordinator plays a critical role in coordinating and processing referrals for continuous glucose monitors (CGMs) and insulin pumps. This position ensures accurate, timely collection of all required documentation to support durable medical equipment (DME) orders while maintaining compliance with insurance and regulatory requirements. The specialist will serve as a liaison between referral sources, patients, and internal departments to streamline the intake process and ensure high-quality patient care.
Duties and Responsibilities:
- Referral Management:
- Process and manage incoming referrals for CGMs and insulin pumps.
- Review and verify the completeness of patient documentation, including prescriptions, clinical notes, insurance information, and physician orders.
- Follow up with referring providers and clinics to obtain missing documentation as needed.
- Communication & Coordination:
- Act as a primary point of contact for referring offices, prescribers, and internal teams regarding diabetes DME referrals.
- Coordinate with the insurance verification and authorization teams to ensure timely approvals.
- Communicate with patients regarding referral status or to gather additional information when required.
- Documentation & Compliance:
- Ensure all referrals and patient records meet payer-specific and regulatory documentation guidelines.
- Maintain accurate records in the electronic health record (EHR) and DME software systems.
- Support audits and quality checks by maintaining organized and compliant documentation.
- Process Optimization:
- Identify and suggest improvements to referral workflows for efficiency and patient satisfaction.
- Participate in team huddles, training, and process improvement initiatives.
Basic Qualifications
- Education: High school diploma or equivalent required; associate’s degree or healthcare-related certification preferred.
- Experience:
- 2+ years of experience in healthcare intake, medical referrals, or DME services.
- Prior experience with diabetes-related DME (CGMs and pumps) highly preferred.
Required Skills
- Strong understanding of insurance requirements for DME referrals.
- Excellent communication and organizational skills.
- Proficient in EHR and DME management software systems.
- Ability to manage multiple tasks in a fast-paced environment with high attention to detail.
Competencies
- Computer Skills
- Verbal Communication
- Customer Service
- Problem Solving
- Ethics
- Organization Skills
- Productivity
- Results Driven
Work Environment & Physical Demands
- Office or remote work environment with regular computer and phone use.
- Must be able to sit or stand for extended periods and manage multiple systems simultaneously.
- This job operates in a professional office environment.
- The noise level in the work environment is usually moderate to loud
Direct Reports – TBD
Other Duties – Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Reliable Respiratory, INC participates in E-Verify. E-Verify is a web-based system that allows an employer to determine an employee's eligibility to work in the US using information reported on an employee's Form I-9. The E-Verify system confirms eligibility with both the Social Security Administration (SSA) and Department of Homeland Security (DHS). For more information, please go to the USCIS E-Verify website.
