Patient Authorization Coordinator

The Patient Authorization Coordinator is the employee that interacts and works closely with many other client employees. This person also interacts with the clinical sales specialists, physicians, nurses and office staff, case managers for all DME manufacturers and the patient / patient family. This position is at the corporate office. The Patient Authorization Coordinator provides continual verification and eligibility for all existing patients, under the direction of the DME Operations Supervisor. The Patient Authorization Coordinatorcontributes greatly to the overall satisfaction of our customers, vendors, and business associates.

ESSENTIAL JOB RESPONSIBILITIES

• Re-authorization dates and tasks are entered into QS1 and/or Brightree system by the DME Case Management Billing Coordinator which allows for a monthly tickler report for the reauthorization process.
• Requests clinical data from patient’s Endocrinologist or other physician’s office as necessary for re-authorization process.
• Submits request for re-authorization to insurance company.
• Timely follow up on requests for re-authorization dates.
• Documents all pertinent information on the case management authorization form and in Brightree and the QS1 system.
• Creates tasks in Brightree for future authorizations.
• Adheres to formulary guidelines and follows protocol in place.
• Requests interim supplies as necessary and appropriate.
• Performs other related duties as required and assigned.

Requirements

• Strong verbal and written communication skills are required.
• Must be knowledgeable in basic office operations and be able to perform multiple tasks simultaneously.
• Must be able to work under pressure, delineate priorities when workload is abundant.
• Must be able to represent the company in a professional manner.
• Must maintain HIPAA (Health Insurance Portability and Accountability Act) compliance in accordance with the provisions outlined in the company’s Employee Manual and HIPAA manual and understand their obligations under the Privacy Rule.
• Able to perform the essential duties of this position without posing a “direct threat” to the health or safety of self or others.

EDUCATION/EXPERIENCE

• High School graduate, or equivalent.
• One year experience, in a similar position, preferred.

Job Type: Full-time

Schedule:

• Night shift

Ability to commute/relocate:

• Angeles City, Pampanga: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Are you amenable to work onsite? (SM CLARK)