Authorization Coordinator I

About the role

The Authorization Coordinator is responsible for maintaining authorizations for all active patients with NuFACTOR. Initiating all re-authorization requests at least 30 days in advance and ensuring all deliveries are properly verified prior to shipping.

Responsibilities

• Initiates the re-authorization process by gathering relevant data from the physician’s office, and properly submitting re-authorizations to avoid delays in treatment.
• Maintains re-authorizations in the NuFACTOR system of record, tracking them 30 days ahead of expiration date.
• Notifies proper departments of any issues or updates relating to coverage or authorization.
• Anually determines patient’s financial obligation, out of pocket expense and copays.
• Communicates with patients on any benefit changes or changes to their financial obligations.
• Enters all communications and updates in the NuFACTOR system of record notes while working the re-authorizations for active patients.
• Answers telephones utilizing appropriate etiquette and speaks to referral sources, patients, family members, clinicians and payors.
• Complies with all NuFactor policies and procedures and compliance requirements when engaging in activities related to the company.
• Adheres specifically to all company policies and procedures, Federal and State regulations, and laws.
• Displays dedication to position responsibilities and achieve assigned goals and objectives.
• Always represents the Company in a professional manner and appearance.
• Understand and internalize the Company’s purpose.
• Display loyalty to the Company and its organizational values.
• Display enthusiasm and dedication to learning how to be more effective on the job and share knowledge with others.
• Works effectively with co-workers, internal and external customers and others by sharing ideas in a constructive and positive manner; listens to and objectively considers ideas and suggestions from others; keeps commitments; keeps others informed of work progress, timetables, and issues; addresses problems and issues constructively to find mutually acceptable and practical business solutions; addresses others by name, title, or other respectful identifier, and; respects the diversity of our work force in actions, words, and deeds.
• Complies with the policies and procedures stated in the Injury and Illness Prevention Program by always working in a safe manner and immediately reporting any injury, safety hazard, or program violation.
• Ensures conduct is consistent with all Compliance Program Policies and procedures when engaging in any activity on behalf of the company.
• Immediately reports any concerns or violations.

Qualifications

• High School diploma or equivalent required.
• One (1) year health care related experience in a pharmacy, home healthcare, infusion related setting or hospital is preferred.
• Benefit verification and prior authorizations for specialty medications.
• Strong organizational skills.
• A detail orientation and the proven ability to prioritize work.
• Effective verbal and written communication skills.
• The ability to work with limited supervision and as part of a team.
• Sound decision-making abilities.

Skills

• Knowledge of medical and pharmacy terminology and calculations, general pharmacy dispensing requirements, including identification of items requiring prescription and valid prescribing data.
• Excellent verbal and written communication skills and the ability to interact effectively with patients, co-workers and management.
• The ability to work with a high degree of accuracy in an organized, detail oriented manner with appropriate follow-up when required.
• The ability to communicate effectively and at the appropriate level with healthcare professionals and peers.
• The ability to prioritize work and make decisions independently and effectively, often quickly in response to dynamic patient needs, with limited supervision and direction, except where required/restricted by law.
• Working knowledge of state, federal and Joint Commission guidelines/regulations/laws.
• The ability to exercise discretion and maintain confidentiality to the level of required HIPAA standards.
• The ability to use and understand Microsoft Office skills and internet technologies.

Benefits

• Medical Insurance
• Dental Insurance
• Vision Discount Program
• Vision Insurance Plan
• Health Savings Account (HSA)
• Flexible Spending Account (FSA)
• Dependent Care Flexible Spending Account
• Employee Assistance Program (EAP)
• Group Life and AD&D
• Voluntary Supplemental Life Insurance Plans
• Short Term Disability
• Long Term Disability Income Protection
• 401k Profit Sharing Retirement Plan - Discretionary Match
• Discretionary Bonus
• Supplemental Insurance Plans
• Prepaid Legal/Identity Theft Plan
• Paid Holidays/Vacation/Sick Days
• Tuition Reimbursement Program
• Notary Services
• Employee Referral Bonus
• Vendor Discount Programs
• Corporate Individual Travel Program
• (Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, and to skill and agility tests.)