Patient Authorization Coordinator (Field Specialist)
About The Position
The Patient Authorization Coordinator-Field Specialist (PAC Field Specialist) acts as a field representative for the Patient Authorization Coordinator (PAC) team. This role is designed to prevent therapy interruptions for patients during reauthorization and insurance change processes. The PAC Field Specialist directly obtains necessary clinical documentation from physician offices, clinics, hospitals, and patient homes. The position requires daily travel within a designated territory (approximately a 2-hour service radius) and close collaboration with Clinical Operations, Sales, and Operational Efficiency leadership to overcome documentation obstacles that affect patient care continuity.
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.
- Consent to recording and processing of interviews and recruiting interactions for evaluation, training, quality assurance, compliance, and hiring purposes, potentially using AI or automated tools.
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
- Obtain re-authorization documentation for ongoing coverage of durable medical equipment.
- Review and obtain necessary compliance documents, medical records, and prescriptions for re-authorization submission.
- Assist patients with the re-authorization process.
- Collaborate with sales and clinical personnel to facilitate re-authorization tasks.
- Review and manage pending re-authorization tasks daily.
- Assist in the appeals process for denied re-authorizations.
- Travel to physician offices, clinics, and hospitals to obtain documentation for reauthorization and insurance change approvals.
- Retrieve in-person physician signatures, chart notes, prescriptions, and compliance documentation.
- Assist with in-person escalation workflows when remote outreach is unsuccessful.
- Coordinate with PAC team members to prioritize high-impact patient interventions.
- Serve as a local resource for Clinical Ops and Sales teams requiring field intervention.
- Retrieve compliance downloads directly from patient homes when remote connectivity is not available.
- Take direction from Operational Efficiency, Clinical Operations, and Sales leadership regarding priority field interventions.
- Communicate status updates on documentation recovery attempts.
- Maintain a consistent field presence within the 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.
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
Mid Level
Education Level
No Education Listed
