Patient Authorization Coordinator

SuperStaff; Makati; On-site; PHP 357,000 - 580,000; Full time

Benefits offered by this job

Night shift

Onsite at SM Clark or Makati

HMO with 1 free dependent upon hire

Life Insurance

20 PTO credits annually

VL and SL cash conversion

Annual merit increases and employee/aw

Career Growth and Learnings

Job summary

SuperStaff is seeking a Patient Authorization Coordinator to support our corporate office in Makati/Clark. You will verify patient eligibility and manage re-authorization tasks with QS1 and Brightree, collaborating with physicians, nurses, and case managers.

The role requires strong communication, the ability to multitask under pressure, and HIPAA compliance. Night shift and onsite work are required, with benefits including HMO, Life Insurance, PTO, and merit-based recognition.

Qualifications

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

Responsibilities

• Enter re-authorization dates and tasks into QS1 and Brightree to generate monthly tickler reports.
• Request clinical data from patient’s endocrinologist or physician’s office for re-authorization.
• Submit re-authorization requests to insurance companies.
• Timely follow-up on re-authorization dates.
• Document all pertinent information on case management authorization forms and in Brightree and QS1.
• Create tasks in Brightree for future authorizations.
• Adhere to formulary guidelines and follow established protocol.
• Request interim supplies as necessary.
• Perform other related duties as required and assigned.

Skills

Verbal & written communication

Office operations

Prioritization under pressure

Professional representation

HIPAA compliance

Education

High School diploma or equivalent

Experience in similar role preferred

Tools

QS1

Brightree

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.

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 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.
• 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)