Member Transitions Specialist

Job Summary

Managing end-to-end transition workflows, the remote Member Transitions Specialist will ensure accurate and efficient transitions for patients, prescribers, payors, and vendor partners while delivering exceptional member experiences in a fast-paced environment.

Key responsibilities

• Manage a high volume of patient/member transition files and DME orders, including order entry, insurance eligibility verification, and authorization coordination
• Coordinate member transitions with partner vendors and communicate transition details with members, care teams, and internal departments
• Respond to patient/member inquiries and concerns via various communication channels, ensuring compliance with quality and regulatory standards

Required qualifications

• 2+ years of recent experience in the durable medical equipment (DME) industry or related roles
• Proficiency in Microsoft Office applications and ability to learn department-specific systems quickly
• Strong organizational skills to manage complex, high-volume workflows
• Availability to work between 8:00 a.m. and 8:00 p.m. EST, with potential on-call rotation participation
• High attention to detail with a strong commitment to accuracy and compliance