Patient Services Representative, Authorizations

Patient Services Representative, Authorizations

Exton, PA

About AOTI

Advanced Oxygen Therapy, Inc. (AOTI) is transforming the future of wound care through breakthrough technologies that improve the lives of patients with chronic non-healing and acute complex wounds.

At the heart of our mission is our patented, multimodality Topical Wound Oxygen (TWO2) therapy, the only device of its kind proven effective in both Randomized Controlled Trials (RCTs) and Real-World Evidence (RWE) studies. TWO2 has delivered exceptional clinical outcomes, including an 88% reduction in hospitalizations and a 71% reduction in amputations among patients with Diabetic Foot Ulcers (DFUs) over 12 months.

In addition to TWO2, we offer the NEXA™ NPWT System, an innovative, multi-week, multi-patient Negative Pressure Wound Therapy (NPWT) device designed to deliver the clinical benefits of traditional durable systems with the convenience and simplicity of disposable solutions. The NEXA System is portable, easy to operate, and cost-effective—making advanced wound care more accessible across diverse care settings, from hospitals to the home.

Backed by a world-class international leadership team and a robust global infrastructure, AOTI offers a unique opportunity to make a meaningful impact in healthcare.

If you're driven by purpose and want to be part of a company that’s transforming wound care, we’d love to hear from you.

As demand for ourTWO2 therapy continues to grow, we are expanding our team to ensure we maintain the highest standards of patient care. We are looking for compassionate and motivated individuals to join us in delivering life-changing therapy to more patients across the country.

Position Summary

The Patient Services Representative, Authorizationsis responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all payers.

Location: Hybrid (Exton, PA or Oceanside, CA)

Employment Type: Full-Time (Remote)

Compensation

• Salary Range: $22.00 - $24.00

In addition to competitive pay, we offer a comprehensive benefits package that includes:

• Full benefits with a company-sponsored stipend
• 401(k) with company match
• Company-paid Basic Life, AD&D, Short-Term, and Long-Term Disability Insurance
• 11 Paid Holidays + 2 Floating Holidays
• Paid Vacation and Sick Time
• Paid Volunteer Time Off to give back to your community
• Car allowance, fuel reimbursement, and corporate discounts

Key Responsibilities

• Ensure all insurance, demographic, and eligibility informationisobtained and entered intothe system(s) in an accurate manner.
• Performinsuranceverification process.
• Obtain initial andsubsequentpre-authorization for services.
• Ensure appropriate signaturesare obtained on all necessary forms.
• Regular authorizationsfollow-upto obtain insurance determinationsin a timely manner.
• Processing prior authorizations andauthorizationappealsas necessary.
• Provide customer service support and build relationships with wound care consultants and other teammates.
• Dispatch set-ups, pick-ups, and other tasks to field teammates.
• Schedule oxygen concentrator and controller set up and delivery as well as product shipments.
• Medical codingandbillingfor all thirdpartyand direct claims.
• Reviewing claims for accuracy before submission.
• Maintainaccuratedata and reference data inGoCanvas, third-party billing,andin-houseERP systems.
• Help train new hiresonprocess and procedures within the department.
• Maintain training toolsand develop new training toolsasneeded.
• Cross-trained incollectionstofollow up on unpaid claims.
• Demonstrate an understanding of patient confidentiality to protect the patient and corporation.
• Respond sin a timely mannerto all inquiries from customers, sales reps, and co-workers.
• Assist sand communicates with all…