Patient Authorization Coordinator

VieMed Careers • Lafayette, LA

1d

About The Position

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. Requirements: 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 Experience: Clinical administrative experience preferred Two years’ experience in insurance office, doctor's office, or three years’ general office experience. Skills: 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

Requirements

• 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

Nice To Haves

• Clinical administrative experience preferred

Responsibilities

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed