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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Specialist, Member Transitions - **Company:** Synapse Health, Inc. - **Location:** United States (Remote available) - **Experience:** Experienced - **Salary:** $35,360.0 - $43,680.0 - **Contract:** Permanent contract - **Skills:** Microsoft Office, Productivity Software - **Published:** May 29, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=c2bb9c20a83a30b3 ## About the Role Do you have experience in Productivity software?, * 2+ years of recent experience in the durable medical equipment (DME) industry, including customer service, qualifications, logistics, patient transitions, or related roles. * Proficiency in Microsoft Office applications and the ability to quickly learn department- and role-specific systems. * Strong organizational skills with the ability to manage complex, high-volume workflows. * Effective verbal and written communication skills across multiple audiences. * Strong analytical and problem-solving abilities to navigate complex transitions and resolve issues. * High attention to detail and a strong commitment to accuracy and compliance. * Availability to work between 8:00 a.m. and 8:00 p.m. EST, with potential participation in an on-call rotation. ## Description The Specialist, Member Transitions reports directly to the Manager, Member Transitions and plays a vital role within the Patient Transitions Department. In this role, you serve as the voice of Synapse Health for patients, prescribers, payors, and vendor partners throughout complex transition events. You ensure transitions are executed accurately, efficiently, and compassionately while delivering an exceptional member experience. As a Specialist, Member Transitions, you are responsible for managing end-to-end transition workflows, including order accuracy, qualification and documentation review, authorization coordination, patient financial responsibility, and vendor equipment transitions. You thrive in a fast-paced, high-volume environment and embrace change as systems, processes, and programs evolve to support organizational growth. What You Will Do: * Maintain a strong working knowledge of insurance provider DME guidelines, coverage criteria, and authorization requirements. * Maintain familiarity with Synapse Health products, services, and transition workflows. * Manage a high volume of patient/member transition files and DME orders, including: * Order entry and validation * Insurance eligibility verification * Retrieval and review of qualifying clinical documentation per payor guidelines * Authorization and pre-determination coordination * Patient financial responsibility collection * Scheduling, care coordination, and prescriber/payor outreach * Processing equipment returns, exchanges, and service transitions * Coordinate member transitions with partner vendors and communicate transition details with members, care teams, and internal departments. * Provide timely updates on authorization status and transition progress to members, vendors, and providers. * Deliver accurate information related to new orders, resupplies, pickups, services, and exchanges. * Collaborate with vendors, prescribers, referral sources, and internal teams to resolve transition issues and support education needs. * Demonstrate professionalism and deliver high-quality service when interacting with patients, caregivers, and referral partners. * Meet or exceed established performance goals, including productivity, call and email quality, member satisfaction, provider satisfaction, vendor satisfaction, and other KPIs. * Respond to patient/member concerns, inquiries, and requests via phone, email, chat, and internal systems with urgency and advocacy. * Listen effectively, gather relevant information, and assess situations quickly to recommend appropriate solutions for escalated concerns. * Adapt communication style to meet the needs of diverse personalities and communication preferences. * Ensure compliance with all quality, regulatory, payor, and state requirements. * Represent the Patient Transitions Department on cross-functional initiatives focused on customer experience, operational efficiency, and employee engagement. * Partner with department leaders on special projects and process improvement initiatives. * Participate in an on-call rotation to support after-hours member requests. * Perform additional duties as required to support team and organizational objectives., * Strategic Thinker: Understands the broader transition lifecycle and anticipates downstream impacts. * Adaptable: Responds quickly to change and embrace new processes, systems, and workflows. * Analytical: Breaks down complex information to draw clear, actionable conclusions. * Sound Decision-Maker: Exercises good judgment in high-pressure or complex situations while maintaining a patient-first mindset. ## Related Videos - [Coffee with Developers - Adam Wiggins](https://www.wearedevelopers.com/videos/919-coffee-with-developers-adam-wiggins) - [ZEISS & Microsoft - Building the Next Generation Medical Ecosystem in the Cloud](https://www.wearedevelopers.com/videos/424-zeiss-microsoft-building-the-next-generation-medical-ecosystem-in-the-cloud) - [The AI-Ready Stack: Rethinking the Engineering Org of the Future](https://www.wearedevelopers.com/videos/1706-the-ai-ready-stack-rethinking-the-engineering-org-of-the-future) - [Beyond the 9–5: Designing Work Around Humans](https://www.wearedevelopers.com/videos/1321-beyond-the-9-5-designing-work-around-humans) - [Autism in Tech](https://www.wearedevelopers.com/videos/427-autism-in-tech) - [Metrics Handle with Care: The Paradox of Measuring Team Performance](https://www.wearedevelopers.com/videos/1131-metrics-handle-with-care-the-paradox-of-measuring-team-performance) ## Related Articles - [Best Paying Remote Jobs](https://www.wearedevelopers.com/magazine/255-best-paying-remote-jobs) - [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs) - [Remote Work: Best Practices for Developers](https://www.wearedevelopers.com/magazine/315-remote-work-best-practices-for-developers) - [System change: restart as developer?](https://www.wearedevelopers.com/magazine/39-system-change-restart-as-developer) - [Spanish Business Culture and Etiquette](https://www.wearedevelopers.com/magazine/353-spanish-business-culture-and-etiquette) - [Mastering Remote Work: Tips for Developers](https://www.wearedevelopers.com/magazine/558-mastering-remote-work-tips-for-developers)