Prior Authorizations Specialist - Pulmonary

Hartford Healthcare•Wethersfield, CT

About The Position

Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common\: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. Hartford HealthCare Medical Group is one of the largest medical practices in New England with multiple locations throughout Connecticut and Rhode Island. We consist of a team of professionals ranging from Medical Assistants to Physician Assistants and everything in between. Our physician led medical group enjoys an excellent reputation with patients and the medical community, offering primary care, urgent care and more than 30 different specialties. Job Summary Authorization Coordinators in HHCMG Pulmonary Sleep Centers are responsible for obtaining authorizations for Home Sleep Testing. Also responsible for all the aspects of the home sleep testing process, including scheduling appointments for test, device preparation and setup, patient education, troubleshooting, and accurate data download and transfer for clinical interpretation. This role supports efficient access, enhances patient experience, and ensures high-quality diagnostic testing within the Sleep Medicine program. Manage WQ’s to ensure orders for testing are processed properly and in a timely matter to obtain authorizations and schedule appointments for patients to pick up equipment for test. Provide patients with instructions as well as a demonstration on how to properly utilize equipment for test. Upload data for all completed test through appropriate software, ensure all test reports are accurately uploaded and routed to the correct physician for scoring and interpretation. Collaborate closely with the team of physicians for any unsuccessful collected data, to determine if patient requires to repeat the test. Prepare, configure, and assign HST units based on provider orders. Ensure all devices are charged, calibrated, cleaned, and ready for use. Maintain inventory of sensors, belts, and device supplies.

Requirements

Minimum of 1 year as a medical receptionist or previous care coordination experience
Direct customer service in the medical field

Responsibilities

Obtaining authorizations for Home Sleep Testing
Scheduling appointments for test
Device preparation and setup
Patient education
Troubleshooting
Accurate data download and transfer for clinical interpretation
Manage WQ’s to ensure orders for testing are processed properly and in a timely matter to obtain authorizations and schedule appointments for patients to pick up equipment for test.
Provide patients with instructions as well as a demonstration on how to properly utilize equipment for test.
Upload data for all completed test through appropriate software, ensure all test reports are accurately uploaded and routed to the correct physician for scoring and interpretation.
Collaborate closely with the team of physicians for any unsuccessful collected data, to determine if patient requires to repeat the test.
Prepare, configure, and assign HST units based on provider orders.
Ensure all devices are charged, calibrated, cleaned, and ready for use.
Maintain inventory of sensors, belts, and device supplies.