Toxin Coordinator

About the role

The Toxin Coordinator is responsible for managing end-to-end order processing for Toxin services, including order intake, chart review, verifying insurance coverage and eligibility, submitting pre-authorizations, financial assistance support, drug ordering, patient scheduling, and ensuring timely processing of Toxin appointments for an assigned physician's office.

Responsibilities

• Perform intake duties for toxin orders, including reviewing orders, adding patients to the patient tracker, obtaining clinical requirements, and communicating with prescribers regarding required clinical documentation.
• Verify and document insurance eligibility, benefits, and coverage for all toxin services.
• Obtain insurance authorization and pre-certification for toxin services.
• Facilitate insurance denial mitigation steps such as peer-to-peer reviews and appeals.
• Maintain a working knowledge of toxin drug authorization requirements for all payers, as well as state and federal regulatory guidelines for coverage and authorization.
• Calculate and communicate patient financial responsibility.
• Provide financial assistance support to patients, including identifying patient assistance programs and manufacturer copay assistance enrollment.
• Communicate with patients and providers regarding the status of toxin orders.
• Schedule patient appointments for toxin services.
• Coordinate drug orders prior to toxin appointments, including both office stock and specialty pharmacy procurement.
• Document office stock and sample vials used in the inventory log.
• Update and maintain the toxin patient tracker.