Patient Authorization Coordinator

SuperStaff Outsourcing; Makati; On-site; PHP 312,000 - 363,000; Full time

Benefits offered by this job

HMO with 1 free dependent upon hire

Life Insurance

20 PTO credits annually

VL and SL cash conversion

Annual Performance-Based Merit Incomes

Great Company Culture

Career Growth and Learnings

NIGHT SHIFT

ONSITE (SM Clark or Makati)

Job summary

SuperStaff Outsourcing is seeking a Patient Authorization Coordinator for our corporate office in Makati. You will verify patient eligibility and coordinate re-authorization with clinicians, insurance companies, and offices, under supervision.

The role requires strong verbal and written communication, multitasking under pressure, and strict HIPAA compliance. On-site location at SM Clark or Makati with a daytime shift is offered.

Qualifications

• High School graduate or equivalent.
• One year of experience in a similar role preferred.

Responsibilities

• Verify and manage patient re-authorization processes.
• Coordinate data requests with physicians and offices for re-authorization.
• Submit re-authorization requests to insurance companies.
• Timely follow-up on re-authorization statuses.
• Document all case information in Brightree and QS1.
• Create tasks in Brightree for future authorizations.
• Maintain HIPAA compliance in daily operations.
• Represent the company professionally under pressure.

Skills

Verbal communication

Written communication

Multitasking

Prioritization

Education

High School diploma or equivalent

Tools

QS1

Brightree

Job description

Job Description:

The Patient Authorization Coordinator is the employee that interacts and works closely with many others employees. This person also interacts with the clinical sales specialists, physicians, nurses, office staff, case managers for all 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 DME Re-Authorization Coordinator contributes greatly to the overall satisfaction of our customers, vendors, and business associates.

• 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 the patient’s Endocrinologist or other physician’s office as necessary for the re-authorization process.
• Submits request for re-authorization to the 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.
• 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 the 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 of experience, in a similar position, preferred.

Benefits:

• HMO with 1 free dependent upon hire
• Life Insurance
• 20 PTO credits annually
• VL and SL cash conversion
• Annual Performance-Based Merit Increases and Employee Recognition
• Great Company Culture
• Career Growth and Learnings
• NIGHT SHIFT
• ONSITE (SM Clark or Makati)
• Php 28,000 (Basic) + 4,500 PHP (Allowance)