Specialist - Qualifications

Synapse Health | Who We Are At Synapse Health, we're streamlining the durable medical equipment (DME) process. We manage intake, documentation, routing, claims, billing, and patient support. Our model reshapes how DME is delivered and experienced. Since 2016, with decades of industry and leadership experience, we've delivered tech-based solutions that help our partners to modernize operations, improve coordination, and reduce administrative burdens. By taking on operational and financial complexity, we're redefining how DME works for providers, prescribers, and patients. We are proud to offer work that matters, on a mission that matters . What We Need : As a Specialist, Qualifications , you will serve as the voice of Synapse Health, interacting directly with patients, providers, payors, and vendor partners. This role is crucial in ensuring that all patient and order-related processes are completed accurately, efficiently, and with the utmost compassion. You will be responsible for a variety of tasks, including processing orders, maintaining medical documentation, facilitating transitions, and coordinating logistics , while consistently delivering high-quality customer service. What You Will Do : Manage and process patient orders, including obtaining necessary patient demographics, prescriber information, insurance verification, and qualifying documentation, ensuring accuracy and timeliness. Respond to inquiries from patients, prescribers, providers, and vendors through multiple communication channels (phone, email, chat, etc.), ensuring a clear understanding of their needs and delivering resolutions with a sense of urgency. Work closely with prescribers, vendors, payors, and other team members to ensure seamless transitions, timely order fulfillment, and efficient resolution of escalated concerns. Ensure that all necessary documentation is gathered and properly recorded in compliance with regulatory guidelines (HIPAA, insurance requirements, etc.), while conducting routine audits to maintain data accuracy. Deliver a high-quality patient experience by meeting established performance goals, including call quality, member satisfaction, first-call resolution, productivity, and attendance. Manage escalated requests or complex inquiries, utilizing problem-solving skills to resolve issues effectively and advocate for the patient’s needs. Facilitate smooth transitions for members, coordinating with external vendors for equipment delivery, resupplies, pickups, and returns. Ensure timely and accurate fulfillment in line with patient care requirements. Actively engage in ongoing learning, contributing to the refinement of processes and the adoption of new technologies . Assist in cross-functional projects aimed at improving the customer experience and operational efficiencies. Participate in an on-call rotation for after-hours member requests, providing support outside regular business hours when needed. What You Have : <span