Patient Care Coordinator/ Authorization Specialist . This position is ideal for a team member who is organized, detail-oriented, comfortable working with patients and insurance companies, and interested in expanding their knowledge of both patient care coordination and the authorization process. Compensation $18.00-$23.00 per hour , based on experience, qualifications, and demonstrated ability. Position Overview The PCC Authorization Specialist will serve in a combined role supporting patient care coordination, front-office operations, insurance verification, and prior authorizations. This position will work closely with our PCCs, clinicians, billing team, referral sources, facilities, insurance companies, and patients to help ensure patients are properly scheduled and that required documentation and insurance approvals are in place prior to delivery. Key Responsibilities Provide PCC and front-office support, including scheduling, patient check-in/check-out, telephone coverage, and referral coordination. Verify patient insurance eligibility, benefits, deductibles, coinsurance, copayments, and coverage requirements. Determine prior-authorization and medical-necessity requirements for orthotic and prosthetic services. Submit and follow up on insurance authorization requests. Obtain required physician orders, medical records, referrals, and supporting documentation. Communicate anticipated patient financial responsibility prior to delivery. Maintain accurate and timely documentation within the electronic medical record. Participate in weekly work-in-progress meetings and help identify and resolve barriers that could delay patient care or product delivery. Provide backup PCC coverage and work from multiple REACH locations as needed. Communicate professionally with patients, coworkers, referral sources, facilities, and insurance representatives. Qualifications High school diploma or equivalent required. Strong organizational and communication skills. Excellent attention to detail and follow-through. Ability to manage multiple priorities and work effectively with patients and team members. Comfortable using electronic medical records, insurance portals, telephone systems, and other office technology. Reliable transportation and willingness to provide support at multiple REACH offices as needed. Hours are Monday - Thursday 7:30-4:30 and Friday 8-2
Job Type:
Full-time Pay:
$18.00 - $23.00 per hour Expected hours: 40.0 per week
Benefits:
401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance