Patient Authorization Coordinator

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• Responsible for obtaining re‑authorization requirements for ongoing coverage of durable medical equipment.
• Review and obtain necessary compliance documents, medical records and prescriptions to submit for re‑authorization.
• Assist patients in the re‑authorization process.
• Work with sales and clinical personnel to facilitate re‑authorization tasks.
• Review and work pending re‑authorization tasks daily.
• Assist in the appeals process for denied re‑authorizations.
• Travel as needed to provider’s office, clinic, or hospital to obtain records for re‑authorization.
• Contact patients to coordinate any necessary doctor's appointments required for re‑authorization.
• Notify RT/Sales teams regarding non‑compliance and re‑authorization deadlines that are not met.
• Establish and maintain effective communication and a good working relationship with co‑workers for the patient’s benefit.
• Perform other clerical tasks as needed, such as answering phones, faxing, and emailing.
• Communicate appropriately and clearly to Manager/Supervisor and other superiors. Report all concerns or issues directly to Regional Sales Manager.

• Learn and maintain 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.
• Utilize initiative; maintain set level of productivity goals with ability to consistently and accurately.

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

• Superior organizational skills.
• Attention to detail and accuracy.
• Ability to work as part of a healthcare team.
• Effective communication with physicians, patients, insurers, colleagues, and staff.
• Proficiency in Microsoft Office, including Outlook, Word, and Excel.

Entry level

Full-time

Health Care Provider

Hospitals and Health Care