Patient Services Representative, Authorizations

About AOTI

Advanced Oxygen Therapy, Inc. (AOTI) is transforming the future of wound care through breakthrough technologies that improve the lives of patients with chronic non-healing and acute complex wounds.

Position Summary

The Patient Services Representative, Authorizations is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all payers.

Key Responsibilities

• 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.
• Demonstrate an understanding of patient confidentiality to protect the patient and corporation.
• Responds in a timely manner to all inquiries from customers, sales reps, and co-workers.
• Aids and communicates with all departments to help increase efficiency and accuracy.

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).
• Finger dexterity required.
• Hand coordination required.
• Specific vision abilities required for this job including close vision, distance vision, ability to adjust or focus.

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.

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.

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.

Join Us

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