Patient Authorization Coordinator (Field Specialist)
About The Position
The Patient Authorization Coordinator-Field Specialist (PAC Field Specialist) acts as a field extension of the Patient Authorization Coordinator (PAC) team. This role is designed to support patients who are at risk of therapy interruption due to reauthorization and insurance change processes. The specialist will obtain necessary clinical documentation directly from physician offices, clinics, hospitals, and patient homes. The position requires daily travel within a defined territory (approximately a 2-hour service radius) and proactive collaboration with Clinical Operations, Sales, and Operational Efficiency leadership to resolve documentation barriers that impact patient continuity of care.
Requirements
- Minimum two years healthcare office experience or equivalent field coordination experience.
- Strong understanding of reauthorization workflows.
- Familiarity with insurance change documentation requirements.
- Ability to operate independently in a field-based role.
- Strong organizational and route-planning skills.
- Effective communication with provider offices, patients, RTs, and internal leadership.
- Ability to prioritize high-impact therapy-retention opportunities.
- Proficiency with Microsoft Office applications.
- Comfortable working in a travel-intensive role.
Nice To Haves
- Clinical administrative experience preferred.
- Experience working in physician offices, DME, respiratory care, insurance authorization, or healthcare documentation workflows preferred.
- Knowledge of Medicare, Medicare Advantage, Commercial, and Medicaid documentation requirements preferred.
Responsibilities
- Obtaining re-authorization documentation 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.
- Assisting patients in the re-authorization process.
- 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 to physician offices, clinics, and hospitals to obtain documentation required for reauthorization and insurance change approvals.
- Retrieve in person physician signatures, chart notes, prescriptions, and compliance documentation as required.
- Assist with in person escalation workflows when remote outreach efforts have not produced results.
- Coordinate with PAC team members to prioritize high-impact patient interventions.
- Serve as a local resource for Clinical Ops and Sales teams needing field intervention.
- Retrieve compliance downloads directly from patient homes when remote connectivity is unavailable.
- Take direction from Operational Efficiency, Clinical Operations, and Sales leadership regarding priority field interventions.
- Communicate status updates on documentation recovery attempts.
- Maintain consistent field presence within assigned coverage area.
- Organize daily routes based on priority patient needs and documentation urgency.
- Support multiple territories as needed based on operational demand.
- Assist with other PAC-related workflow support tasks as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
