Patient Authorization Coordinator

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 processResponsible for working with sales and clinical personnel to facilitate re-authorization tasks.Review & work pending re-authorization tasks dailyAssist in the appeals process for denied re-authorizationsTravel 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-authorizationNotify RT/Sales teams regarding non-compliance and re-authorization deadlines that are not metEstablishes 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 assignedCommunicates 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 systemAbility to understand re-authorization requirementsGeneral knowledge of government, regulatory billing and compliance regulations/policies for Medicare, Medicare Advantage, Commercial Insurance & MedicaidMedical Terminology backgroundEnough 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 preferredTwo 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 staffProficient in Microsoft Office, including Outlook, Word, and Excel