About CHMECareers

Jobs at CHME

Why Join CHME

CHME’s guiding principle, to put patients first, has allowed it to attract and retain a team of dedicated professionals. This commitment to patient care extends into the community – as demonstrated through CHME’s corporate giving.

If you’re looking for a job where care and service drive business decisions, you should consider CHME.

Learn more about why clients and staff stay with CHME

Benefits at a Glance

CHME offers employees a benefits package that includes:

  • Variety of health plans for medical care
  • Delta Dental
  • VSOP Vision
  • 401K with company matching

Open Positions

Customer Intake Coordinator

Location:  Foster City, CA

The Customer intake Coordinator (Medical Supplies Role) works in a highly fast paced department developing a strong knowledge in Medical Standards and reviews & maintains high quality and accuracy of documentation.

Customer Intake Coordinator

Location:  Foster City, CA

The Customer intake Coordinator (Medical Supplies Role) works in a highly fast paced department developing a strong knowledge in Medical Standards and reviews & maintains high quality and accuracy of documentation.

Responsibilities:

  • Demonstrates and ensures a commitment to quality in all actions and decisions in accordance with Company standards.
  • Confirm patient information from new and unconfirmed orders as they arrive in queue; prioritize incoming items according to product type and level of urgency.
  • Review & assess quality of required documentation.
  • Assist with obtaining all missing items for incomplete orders; redirect as needed.
  • Access insurance/payer websites to research guidelines and determine coverage.
  • Develop and maintain a strong applicable knowledge of medical supplies to respond accurately to customer needs.
  • Multi-task and complete high volumes of work with an extremely strong attention to detail are essential.
  • Creating new cases in Brightree to obtain missing documents and get patients to billing status.
  • Contact patient/caregiver to obtain verbal confirmation of order and inform them of benefits coverage.
  • Review prescription and account information and validate documents.

Knowledge, Skills, and Abilities:

  • Ability to perform complex repetitive work with frequent interruptions without losing patience or focus.
  • Effectively communicate with internal and external parties, including patients and insurance companies, via email, fax and phone.
  • Must be organized and pay attention to details while ensuring a high quality work product.
  • Must have the ability to manage multiple tasks and prioritize.
  • Proficiency with Microsoft Office applications and data entry skills are required.

Minimum Qualifications:

  • Bachelor’s degree preferred, High School Diploma or GED.
  • Position requires a minimum of two (2) years of customer service or healthcare industry
  • Knowledge of Medicare, Medi-Cal and private insurance is highly desired.
  • Bilingual a plus.

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To apply for this position, please DOWNLOAD CHME’s Application for Employment.  You can fax your completed application to 1-650-931-8928 or email it to jobs@chme.org.

Dispatcher

Location:  Foster City, CA

We are looking for compassionate individuals who want to make a difference in our patients’ lives.

Dispatcher

Location:  Foster City, CA

We are looking for compassionate individuals who want to make a difference in our patients’ lives.

Responsibilities:

  • Dispatch, schedule and coordinate all requests including hospice needs.
  • Makes sure all tickets are assigned to a proper manifest to ensure accuracy.
  • Investigate any outstanding orders in the manifest to ensure accuracy.
  • Takes orders by phone and coordinates them accordingly.
  • Communicate with technicians, hospices, and families about all matters concerning order requests.
  • Communicate any hazardous patient contact to all applicable people.
  • Abide by HIPPA standards and keep all medical records secure.
  • Ensure all sales order requests are being completed as requested.
  • Contact all family members or care givers to verify order requests..
  • Communicate all areas of concern to appropriate manager.
  • Communicate with warehouse and manager about any special equipment request.
  • Coordinate personal schedule and communicate with manager to ensure minimal overtime and expenses.
  • Works effectively with other company employees, managers and departments.
  • Performs all job functions with company mission, vision and goal statement in mind.
  • Ensures compliance with company policies and procedures.
  • Communicate with all applicable people in every order.
  • Keep up with all the daily orders. 

Knowledge, Skills, and Abilities:         

  • Must demonstrate proficient ability to foster professional working relationships utilizing strong interpersonal and communication skills organization-wide.
  • Must demonstrate proficient ability and practical knowledge of personal computer use, routing software, and word processing software, spreadsheet software, billing software, and accounting software.
  • Demonstrate the ability to quickly and proficiently learn to use company specific software programs and any other handheld or technology tools as required for completing job tasks. 

Minimum Qualifications:

  • High school diploma, six months industry related work experience and/or training; or equivalent combination of education and experience.
  • No professional certificate or licensure required, although preferred.
  • Must be proficient in typing skills. 35-40 wpm preferred
  • Must be able to pass background and drug screen.
  • Must be able to be on call.

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To apply for this position, please DOWNLOAD CHME’s Application for Employment.  You can fax your completed application to 1-650-931-8928 or email it to jobs@chme.org.

Driver/Technician

Location: Foster City, CA

The Driver/Technician is an entry level position whose primary responsibilities include: driving a 14 foot box truck, delivery-pick up of home medical equipment, education and assessment to patients. Ability to lift 100 pounds on a regular basis, work in a fast-paced environment, computer proficiency, strong written and verbal communication skills, and a valid driver’s license. On-call work hours are required. This position requires the ability to work independently. Must adhere to Company, Federal, State and local regulations and compliance.

Driver/Technician

Location: Foster City, CA

The Driver/Technician is an entry level position whose primary responsibilities include: driving a 14 foot box truck, delivery-pick up of home medical equipment, education and assessment to patients. Ability to lift 100 pounds on a regular basis, work in a fast-paced environment, computer proficiency, strong written and verbal communication skills, and a valid driver’s license. On-call work hours are required. This position requires the ability to work independently. Must adhere to Company, Federal, State and local regulations and compliance.

Responsibilities:

  • Delivers medical equipment to patients as directed by the Distribution Manager, Dispatcher, and other designated company representative.
  • Responsible for delivering, set-up, service and pick-up of medical equipment and related supplies to and from patient’s residence and skilled facilities.
  • Provide instruction and education material to the patient/or caregiver(s) on the operation, cleaning, and maintenance of medical equipment.
  • Transport, handle and route medical equipment according to CHME Solutions policies and procedures to comply with infection control, equipment maintenance, and safety.
  • Perform scheduled preventative maintenance and non-scheduled maintenance of equipment.
  • Complete performance safety checks on equipment at the time of delivery.
  • Perform structural/environmental, safety, and patient assessments as related to equipment.
  • May clean and disinfect medical equipment as needed.
  • Load and unload equipment safely to assure no damage or injury.
  • Utilize transport devices provided by CHME.
  • Maintain accurate records in accordance with CHME policies and procedures, i.e., patient equipment delivery/pick-up/service forms, vehicle reports, manifests, and patient needs.
  • Present equipment education to a level of understanding by patients/families.
  • Provide internal CHME Staff with training on home medical equipment.
  • May assists less experienced MSTs by providing guidance and counseling on job duties and responsibilities.
  • Ensures delivery vehicles are stocked with appropriate supplies, safety, personal protective and cleaning equipment.
  • Maintains, organizes, and ensures that deliver vehicles are operational, receive necessary maintenance, are clean and meet regulatory standards.

 Knowledge, Skills, and Abilities:

  • Strong knowledge in all home medical equipment and ability to train MST staff effectively in High Flow Therapy and Enteral Pumps.
  • Computer literate for accurate tracking of equipment and daily performance.
  • Ability to provide initial general training to newly hired Medical Service Technicians.
  • Experience with the operation and repair of durable medical equipment preferred.
  • Ability to read a map/GPS and follow directions.
  • Highly Organized.
  • Strong Administrative Skills.
  • Able to work with hand-held scanning device.
  • Ability to work unsupervised in field exercising discretion and independent judgment.
  • Ability to physically access any home, nursing home, Assisted living facilities, and hospitals.

 Minimum Qualifications:

  • Current California Drivers License required, Hazardous Endorsement Required.
  • Must be 21 years of age or older.
  • Completion of high school or basic education equivalency required.
  • High school level reading and math skills.
  • Ability to lift 100 pounds on a regular basis.
  • Must be able to pass background and drug screen.
  • Must be able to be on call.

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To apply for this position, please DOWNLOAD CHME’s Application for Employment.  You can fax your completed application to 1-650-931-8928 or email it to jobs@chme.org.

CAP Claim and Documentation

Location: San Jose, CA

The Capitated (CAP) Division Claim and Documentation Specialist gathers completed certificate of medical necessity and supporting clinical documentation. Assists with periodic claim review and capitation credit adjustment reconciliation.

CAP Claim and Documentation

Location: San Jose, CA

The Capitated (CAP) Division Claim and Documentation Specialist gathers completed certificate of medical necessity and supporting clinical documentation. Assists with periodic claim review and capitation credit adjustment reconciliation.

Responsibilities:

  • Analyze CAP claims to resolve held invoices and reviewing cases for medical necessity compliance.
  • Review certificate of medical necessity (CMN) worklist and resolve held invoices pending a CMN.
  • Represent the claims department as a subject matter expert and provide input to department and cross functional meetings.
  • Conform to contractual obligations for timeliness in rendering service and performing utilization overview.
  • Review claims for missing or incomplete information; requesting additional information needed to complete adjudication of claims.
  • Review claims for overage quantity, limitations and exclusions based on claims policies and procedures and document in claims notes to support payments or decisions.
  • Determining the level of reimbursement based on established criteria and defined provisions.
  • Escalate cases pending a reauthorization as needed; escalate cases that require an office visit to gather documentation.
  • Provide excellent service to clients and referral sources. Maintain the physician database with current contact information.
  • Obtain certificates of medical necessity and supporting clinical documentation. Ability to converse with clinicians and office staff to describe the information needed for an authorization to be processed.
  • Notifying manager of delay reasons that may affect timeliness of processing.
  • Manage special projects within the department such as coordinating audit requests.
  • Ability to run custom reports and analyze monthly reports where statistics are required for further analysis and monitoring by the management team.
  • Familiarity with Medi-Cal regulations, capitation policies and current processing procedures preferred.

Knowledge, Skills, and Abilities:

  • Demonstrated depth of knowledge and experience in medical claims procedures, processes, governing rules and aspects of claims adjudication including solid knowledge of HCPCS, medical terminology, durable medical equipment, and medical supplies.
  • Understand Medi-Cal DME authorization requirements and quantity limits.
  • Solid understanding of standard claims processing systems and claims data analysis.
  • Excellent communication skills; verbal and written.
  • Prior Brightree experience will be beneficial.
  • Strong MS Office skills (Word, Excel, PowerPoint).
  • Strong organization, time management and project management skills and multi-tasking abilities.
  • Ability to handle detailed work; work with varying types of data and excellent qualitative and quantitative abilities.

Minimum Qualifications:

  • Minimum of 1 year of prior work experience in claims operations environment in the health care insurance industry.
  • 1 year working as an analyst preferred. Prior combined work experience will be considered.
  • High school diploma; college degree preferred.

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To apply for this position, please DOWNLOAD CHME’s Application for Employment.  You can fax your completed application to 1-650-931-8928 or email it to jobs@chme.org.

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