Patient Authorization Coordinator

Patient Authorization Coordinator

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Duties

  • Responsible for obtaining re-authorization requirements for on-going coverage of durable medical equipment.
  • Review and obtain necessary compliance documents, medical records and prescriptions in order to submit for re-authorization.
  • Responsible for assisting patients in the re-authorization process
  • Responsible for working with sales and clinical personnel to facilitate re-authorization tasks.
  • Review & work pending re-authorization tasks daily
  • Assist in the appeals process for denied re-authorizations
  • Travel as needed to provider's office/clinic/hospital to obtain records for re-authorization.
  • Contact patients to coordinate any necessary doctor's appointments needed in order to submit re-authorization
  • Notify RT/Sales teams regarding non-compliance and re-authorization deadlines that are not met
  • Establishes and maintains effective communication and good working relationship with co-workers for the patient's benefit.
  • Performs other clerical tasks as needed, such as answering phones, faxing, and emailing.
  • Completes other duties, as assigned
  • Communicates appropriately and clearly to Manager/Supervisor, and other superiors. Reports all concerns or issues directly to Regional Sales Manager.

Requirements

  • Learns and maintains knowledge of current patient database and billing system
  • Ability to understand re-authorization requirements
  • General knowledge of government, regulatory billing and compliance regulations/policies for Medicare, Medicare Advantage, Commercial Insurance & Medicaid
  • Medical Terminology background
  • Enough knowledge of policies and procedures to accurately answer questions from internal and external customers.
  • Utilizes initiative; maintains set level of productivity goals with ability to consistently and accurately

Experience

  • Clinical administratvie experience preferred
  • Two years' experience in insurance office, doctor's office, or three years' general office experience.

Skills

  • Superior organizational skill.
  • Attention to detail and accuracy.
  • Ability to work as part of a health care team.
  • Effectively communicate with physicians, patients, insurers, colleagues and staff
  • Proficient in Microsoft Office, including Outlook, Word, and Excel

Read the full job description and apply online on the recuiter's web-site

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