DME Authorization Representative

Responsibilities

• Prioritize incoming authorization requests according to urgency.
• Obtain authorization via payer website for DME items or by phone and follow up regularly on pending cases.
• Maintain individual payer files to include up-to-date requirements needed to successfully obtain authorizations.
• Respond to clinic questions regarding payer medical policy guidelines.
• Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order.
• Other clinical/clerical duties as assigned.