Patient Authorization Coordinator (Field Specialist)

Essential Duties and Responsibilities

• Serves as a field extension of the Patient Authorization Coordinator (PAC) team.
• Supports patients at risk of therapy interruption during reauthorization and insurance change processes by obtaining required clinical documentation directly from physician offices, clinics, hospitals, and patient homes.
• Daily travel within a defined territory (approximately a 2-hour service radius).
• Proactive collaboration with Clinical Operations, Sales, and Operational Efficiency leadership to resolve documentation barriers that impact patient continuity of care.
• Supports the re-authorization of on-going coverage of durable medical equipment.
• Reviews and obtains necessary compliance documents, medical records, and prescriptions in order to submit for re-authorization.
• Assists patients in the re-authorization process.
• Works with sales and clinical personnel to facilitate re-authorization tasks.
• Reviews and works pending re-authorization tasks daily.
• Assists in the appeals process for denied re-authorizations.
• Takes direction from Operational Efficiency, Clinical Operations, and Sales leadership regarding priority field interventions.
• Communicates status updates on documentation recovery attempts.
• Maintains consistent field presence within assigned coverage area.
• Expected to travel 6–7 hours daily.
• Organizes daily routes based on priority patient needs and documentation urgency.
• Supports multiple territories as needed based on operational demand.
• Assists with other PAC-related workflow support tasks as assigned.

Qualifications

• Clinical administrative experience preferred.
• Experience working in physician offices, DME, respiratory care, insurance authorization, or healthcare documentation workflows preferred.
• Minimum two years healthcare office experience or equivalent field coordination experience.
• Required Skills And Abilities:
  • Strong understanding of reauthorization workflows.
  • Familiarity with insurance change documentation requirements.
  • Knowledge of Medicare, Medicare Advantage, Commercial, and Medicaid documentation requirements preferred.
  • Ability to operate independently in a field-based role.
  • Strong organizational and route-planning skills.
  • Effective communication with provider offices, patients, RTs, and internal leadership.
  • Ability to prioritize high-impact therapy-retention opportunities.
  • Proficiency with Microsoft Office applications.
  • Comfortable working in a travel-intensive role.