Botulinum Toxin Coordinator
About The Position
The Botulinum Authorization Coordinator is responsible for obtaining all prior authorizations for all botulinum toxin procedures, verifying patient insurances for all botulinum toxin procedures, discussing patients’ financial responsibility for injections, and keeping an open line of communication with the other botulinum toxin staff (Medical Assistants, Providers, and Managers). Periodically meet with botulinum toxin representatives to keep abreast of updates and changes with regard to the different medications, insurance criteria, authorization issues, specialty pharmacy issues, available savings program, and reimbursement policies.
Requirements
- High School diploma and 2 years of medication and/or procedure prior authorization experience
- Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
- Ability to write routine reports and correspondence.
- Ability to speak effectively before groups of customers or employees of organization.
- Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
- Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
- Ability to deal with problems involving several concrete variables in standardized situations.
- Extensive knowledge of Microsoft Word, Microsoft Excel, Microsoft Outlook and Google Docs.
- Valid Driver's License
Nice To Haves
- Medical Billing Diploma/Certification
- Medical Billing Certificate
Responsibilities
- Answering a multi-line call queue
- Monitoring and performing authorizations for all botulinum toxin patients which entails monthly reports, eligibility checks, update code requirements, update insurance information, checks for mistakes and updates authorizations as needed.
- Submits authorization requests for new and recheck patients.
- Documents detailed cases of the authorization process for each patient, contacting patients’ insurance if authorization is ineligible, errored or as needed, verifying scheduling accuracy and appropriate notes are placed, scheduling consults appropriately based on diagnosis, scheduling recheck appointments as needed, confirming all botulinum toxin appointments with patients, assisting botulinum toxin clinical team as needed for administrative duties, monthly patient ordering for botulinum toxin which includes the following: running reports on patient appointments, sending correspondence to patients via patient portal, creating patient cases regarding deliveries, initiating deliveries as needed with pharmacies, patient reminder for deliveries/consent for and setting deliveries and determining total patient count for scheduling templates with the scheduling supervisor (or operations manager) as needed, iniating new start start orders by calling insurance to start authorization, calling pharmacy to start delivery process, educating patient on process and saving cards.
Benefits
- Full time employees are eligible for Health, Dental, Vision, and Life insurance the first day of the month after their hire date.
- PTO begins accruing on the first day of hire and can start being used after they have successfully completed their 90-day introductory period.
- Pension and Profit Sharing is available after 1 year of employment.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
