Patient Authorization Coordinator

VieMed Healthcare•Lafayette, LA

About The Position

This role is responsible for managing the re-authorization process for durable medical equipment, ensuring continued coverage for patients. The coordinator will work closely with patients, healthcare providers, and internal teams to gather necessary documentation, facilitate the re-authorization process, and assist with appeals if needed. The position also involves administrative tasks and maintaining effective communication within the healthcare team.

Requirements

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.
Sufficient 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 perform tasks.

Nice To Haves

Clinical administrative experience preferred.

Responsibilities

Obtain re-authorization requirements for ongoing coverage of durable medical equipment.
Review and obtain necessary compliance documents, medical records, and prescriptions 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/hospital to obtain records for re-authorization.
Contact patients to coordinate necessary doctor's appointments for re-authorization submission.
Notify RT/Sales teams regarding non-compliance and re-authorization deadlines not met.
Establish and maintain effective communication and good working relationships with co-workers for the patient’s benefit.
Perform other clerical tasks as needed, such as answering phones, faxing, and emailing.
Complete other duties as assigned.
Communicate appropriately and clearly to Manager/Supervisor and other superiors.
Report all concerns or issues directly to the Regional Sales Manager.