BOTULINUM TOXIN COORDINATOR

Dayton Center for Neurological Disorders; Remote; GBP 40,000 - 60,000; Full time

Job summary

A healthcare center is seeking a Botulinum Authorization Coordinator to manage prior authorizations for botulinum toxin procedures. This remote role requires effective communication, a high school diploma, and two years of prior authorization experience. The starting pay is between $18/hr and $20/hr, with benefits commencing after hire. Candidates should have knowledge of medical billing and be proficient in MS Office. Accommodations are available for individuals with disabilities.

Benefits

Health insurance

Dental insurance

Vision insurance

Life insurance

PTO accumulation

Qualifications

• At least 2 years of prior authorization experience in medication/procedures.
• Must possess a valid driver's license.
• Experience in medical billing preferred.

Responsibilities

• Obtain prior authorizations for botulinum toxin procedures.
• Answer calls and monitor authorizations for patients.
• Educate patients on authorization processes and results.

Skills

Medication authorization experience

Communication skills

Attention to detail

Education

High School diploma

Medical Billing Diploma/Certification

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Google Docs

Job description

Work From Home Requirements

PLEASE DO NOT APPLY TO THIS POSITION IF YOU DO NOT PHYSICALLY LIVE IN THE DAYTON/CINCINNATI, OH AREA AND ARE ABLE TO TRAVEL TO OUR OFFICE IN CENTERVILLE AS NEEDED.

This is a Remote (Work from Home) position. All training for this position will be done either on-site, in Centerville, OH, or remotely. Once working from home, there will be times where it is necessary to work on site, sometimes unexpectedly. Some examples of this would be if there are technical issues at the work from home location (i.e., Wi‑Fi issues) the employee will be required to return to the office to complete their work day. Also, some trainings and meetings require the employee to be on site. If employed in this position, a Work From Home Agreement will be required, which requires the employee to return to the office for any reason stated by management. All work from home equipment is provided by Dayton Center for Neurological Disorders. A site visit will be conducted prior to being released to start working from home. This to be sure that the work from home environment is HIPAA compliant, and conducive to being on the phones with patients all day (i.e., quiet, private area designated for work).

Details of the Botulinum Authorization Coordinator Job Role

The Botulinum Authorization Coordinator is responsible for obtaining all prior authorizations for all botulinum toxin procedures, verifying patient insurances for all botulinum toxin procedures, discussing patients’ financial responsibility for injections, and keeping an open line of communication with the other botulinum toxin staff (Medical Assistants, Providers, and Managers). Periodically meet with botulinum toxin representatives to keep abreast of updates and changes with regard to the different medications, insurance criteria, authorization issues, specialty pharmacy issues, available savings program, and reimbursement policies.

Responsibilities

Responsibilities for this position include but are not limited to answering a multi-line call queue, monitoring and performing authorizations for all botulinum toxin patients which entails monthly reports, eligibility checks, updating code requirements, updating insurance information, checking for mistakes and updating authorizations as needed. Submits authorization requests for new and recheck patients. Documents detailed cases of the authorization process for each patient, contacting patients’ insurance if authorization is ineligible, errored or as needed, verifying scheduling accuracy and appropriate notes are placed, scheduling consults appropriately based on diagnosis, scheduling recheck appointments as needed, confirming all botulinum toxin appointments with patients, assisting botulinum toxin clinical team as needed for administrative duties, monthly patient ordering for botulinum toxin which includes the following: running reports on patient appointments, sending correspondence to patients via patient portal, creating patient cases regarding deliveries, initiating deliveries as needed with pharmacies, patient reminder for deliveries/consent for and setting deliveries and determining total patient count for scheduling templates with the scheduling supervisor (or operations manager) as needed, initiating new start orders by calling insurance to start authorization, calling pharmacy to start delivery process, educating patient on process and saving cards.

Pay Scale

The starting pay for this position is $18/hr - $20/hr. Where an individual starts in the mentioned range depends specifically on years of directly related experience. Please note that the starting pay range provided is a good faith estimate for the position at the time of posting. Actual compensation will be dependent on factors, including but not limited to the individual's qualifications, experience, knowledge, skills, and abilities, as well as physical work location within the state.

Benefits

Full time employees are eligible for Health, Dental, Vision, and Life insurance the first day of the month after their hire date.

PTO begins accruing on the first day of hire and can start being used after they have successfully completed their 90-day introductory period.

Pension and Profit Sharing is available after 1 year of employment.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education / Experience

Required: High School diploma and 2 years of medication and/or procedure prior authorization experience

Preferred: Medical Billing Diploma/Certification

Certificates and Licenses

Valid Driver's License

Preferred: Medical Billing Certificate

Language Ability

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

Math Ability

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Reasoning Ability

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

Computer Skills

To perform this job successfully, an individual should have extensive knowledge of Microsoft Word, Microsoft Excel, Microsoft Outlook and Google Docs.

Equipment

Multi-line telephone

Postage meter

Calculator

Computer

Printer

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

Physical Demands

While performing the duties of this job, the employee is regularly required to sit; use hands and talk or hear. The employee is occasionally required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception.