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.

• 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.

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

• 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.