Clinical Support Specialist at AcTion Seating & Mobility

Denver, Colorado, United States -

Full Time

Start Date

Immediate

Expiry Date

02 Feb, 26

Salary

26.0

Posted On

04 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Support, Documentation, Authorization, Communication, Organization, HIPAA, Payer Standards, EMR, CRM, Microsoft 365, Google Workspace, Prior Authorization, Funding Packets, Case Management, Quality Assurance, Workflow Improvements

Industry

Medical Equipment Manufacturing

Description

Description Department: Operations (CRT) | Reports to: Branch Manager & ATP Manager Type: Full-time (On-site with limited local travel) Pay: $24-26 per hour Business Hours: Monday-Friday 8a-5p Why this role matters At Action Seating & Mobility, we help people with complex medical needs gain independence through Complex Rehab Technology (CRT). As a CSS, you’re the coordination hub for therapists, ATPs, payers, and clients—making sure documentation is right, authorizations get approved, and orders move. Your accuracy and follow-through directly impact how fast someone gets life-changing equipment. What you’ll do (core outcomes) Authorization success & speed Prepare complete funding packets and submit within target timeframes (e.g., = 5 business days after final clinical docs). Track decisions; proactively close gaps to reduce rework/denials. Documentation quality Review LMNs, PT/OT evals, and physician notes for payer compliance; request corrections/clarifications quickly. Maintain low doc-error rates (goal set by branch leadership). Case flow & communication Own updates to clients, therapists, and ATPs; respond to messages within 1 business day. Keep EMR (Atlas) and trackers current so the team always knows status. Order readiness Generate accurate quotes; route clean orders to Purchasing with correct codes, documentation, and delivery notes. Escalate barriers early (clinic delays, missing signatures, payer nuances). Quality & compliance Follow HIPAA/PHI safeguards; be audit-ready at all times. Stay current on CO Medicaid and commercial documentation rules. Requirements Day-to-day responsibilities Partner with assigned ATP(s) to move cases from eval ? docs ? funding ? order submission. Validate clinical notes/LMNs against payer criteria (Medicare, Health First Colorado/Medicaid, and major commercial plans). Build and submit prior auths; maintain payer portals and decision logs. Create quotes; verify codes and coverage; flag non-covered items for ABN/waiver. Maintain clean, timely documentation in Atlas and standard branch trackers. Coordinate schedules with clinics/clients; support evaluation and delivery logistics (communication only). Provide courteous, proactive updates to clients, clinics, and internal teams. Contribute to branch huddles; suggest workflow improvements. Support onboarding of new CSS staff with tips/checklists once proficient. What you bring 1+ year in CRT/DME, therapy clinic admin, payer authorization, or similar healthcare coordination. Working knowledge of payer documentation standards for CRT (Medicare, Medicaid, commercial). Strong organizer: can juggle 30–60 active cases while hitting deadlines. Clear, professional communicator; confident asking clinics for doc fixes. Systems: EMR/CRM (Atlas preferred), Microsoft 365/Google Workspace; comfortable with payer portals. Confidentiality mindset; HIPAA/PHI literate. Occasional local clinic visits; routine lifting limited to standard office needs. Nice to have Prior CRT exposure (ATP workflows, LMN elements, wheelchair/seating terminology). Spreadsheet chops (filters, lookups, basic pivoting) for trackers and reports. Experience with CO Medicaid and regional MCO requirements. What we offer Competitive pay, medical/dental/vision, 401(k), life Insurance. Training on payer rules, documentation quality, and Atlas best practices. A mission-driven team that values accuracy, urgency, and client dignity.

Responsibilities

The Clinical Support Specialist coordinates documentation and authorizations for clients needing Complex Rehab Technology. This role ensures timely processing of funding packets and maintains communication with clients and healthcare providers.