Patient Authorization Coordinator

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 administrative 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