Patient Services Representative, Authorizations

Position Summary

Key Responsibilities

Qualifications & Skills

Physical Demands

Work Environment

Data Privacy Notice

Equal Opportunity Employer

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• Location:

  Hybrid (Exton, PA or Oceanside, CA)

• Employment Type:

  Full-Time (Remote)

Compensation:

Salary Range: $22.00 - $24.00

Benefits:

Full benefits with a company-sponsored stipend
401(k) with company match
Company-paid Basic Life, AD&D, Short-Term, and Long-Term Disability Insurance
11 Paid Holidays + 2 Floating Holidays
Paid Vacation and Sick Time
Paid Volunteer Time Off to give back to your community
Employee Referral Bonuses
Car allowance, fuel reimbursement, and corporate discounts

• Ensure all insurance, demographic, and eligibility information is obtained and entered into the system(s) in an accurate manner.

• Perform insurance verification process.

• Obtain initial and subsequent pre-authorization for services.

• Ensure appropriate signatures are obtained on all necessary forms.

• Regular authorizations follow-up to obtain insurance determinations in a timely manner.

• Processing prior authorizations and authorization appeals as necessary.

• Provide customer service support and build relationships with wound care consultants and other teammates.

• Dispatch set-ups, pick-ups, and other tasks to field teammates.

• Schedule oxygen concentrator and controller set up and delivery as well as product shipments.

• Medical coding and billing for all third party and direct claims.

• Reviewing claims for accuracy before submission.

• Maintain accurate data and reference data in GoCanvas, third-party billing, and in-house ERP systems.

• Help train new hires on process and procedures within the department.

• Maintain training tools and develop new training tools as needed.

• Cross-trained in collections to follow up on unpaid claims.

Qualifications & Skills:

High School diploma or equivalent required, Bachelors in related field preferred.
Position requires at least 3 years of medical office/provider/billing/collections work experience with insurance procedures.
Must have excellent communication skills, written and verbal.
Proficiency with computer, internet and Microsoft Office (Outlook, Word, and Excel).
Experience with multiple payor portals a plus.

Physical Demands:

Occasionally required to sit.
Occasionally required to walk.
Occasionally required to use hands to finger, handle, or feel.
Occasionally required to reach with hands and arms.
Occasionally required to talk or hear.
Occasionally required to bend, lift or climb.
Occasionally required to lift up to (50 pounds or greater).

Work Environment:

Exposure to adverse conditions.
Exposure to moving mechanical parts.
Exposure to high, precarious places.
Exposure to outside weather conditions.
Exposure to fumes or airborne particles.
Possible risk of electrical shock.
Protective clothing or equipment is required including gloves, covered shoes, protective eyewear.

Data Privacy Notice:

We collect and use personal information you provide in your application, such as your name, contact details, and professional experience, to evaluate your qualifications and manage our recruiting process. We may also obtain information from publicly available sources or referrals in connection with recruiting activities. We retain this information for a limited period in accordance with applicable laws and our internal policies. You may request access to, correction of, or deletion of your personal information at any time by contacting us at talentaquisition@aotinc.net.

Equal Opportunity Employer:

Advanced Oxygen Therapy, Inc. is an Equal Employment Opportunity Employer and does not discriminate against applicants or employees on the basis of race, color, religion, creed, national origin, ancestry, disability that can be reasonably accommodated without undue hardship, sex, sexual orientation, gender identity, age, citizenship, marital or veteran status, or any other legally protected status.

Join Us:

Join AOTI and help us grow our impact—one patient at a time.