Authorization Representative - Diabetes

Aeroflow Inc.; Asheville (NC); Remote; USD 40,000 - 50,000; Full time

Job summary

Aeroflow Health is seeking an Authorization Representative specializing in diabetes care to join their fully remote team. This role involves submitting and managing authorizations, ensuring compliance with healthcare regulations, and providing exceptional customer service. The company values career development and offers competitive pay along with comprehensive benefits.

Benefits

Competitive Pay

Health Plans with FSA or HSA options

Dental and Vision Insurance

Optional Life Insurance

401K with Company Match

12 weeks of parental leave for birthing parent

Paid Holidays

PTO Accrual from day one

Employee Assistance Programs

Qualifications

• 2 years recent work history required.
• Prior work experience in healthcare or health insurance desired.

Responsibilities

• Submit authorizations for commercial, Medicare, and Medicaid policies.
• Follow up on submitted authorizations for status.
• Research insurance payer requirements.

Skills

Detail oriented

Excellent customer service skills

Strong decision maker

Strong communicator

Education

Bachelor’s degree from accredited university (any field)

Job description

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Aeroflow Health – Authorization Representative - Diabetes/CGM - Fully Remote Opportunity

Aeroflow Health is taking the home health products and equipment industry by storm. We have created a better way of doing business that prioritizes our customers, our community, and our coworkers. Aeroflow believes in career building. That is why we promote from within and reward individuals who have invested their time and talent in us. Whether you are looking for a place from which to launch your career - or a stable, ethical company in which to advance you will not find an organization better equipped to help you meet your professional goals than Aeroflow Health.

The Opportunity

Within Aeroflow, there are 4 main divisions: Urology, Diabetes, Mom & Baby, & Sleep. Each division specializes in a specific set of medical supplies aimed to treat a medical diagnosis or the symptoms of that diagnosis.

• Aeroflow Diabetes focuses on CGM brands such as Libre & Dexcom.
• Supplies are shipped directly to more than 10,000+ patients a month across the nation who have medical insurance and a diabetes diagnosis
• The CGM Billing team applies for authorizations through a wide variety of commercial, Medicare, and Medicaid policies
  
  

Your Primary Responsibilities

We are currently seeking a CGM Authorization Representative.

The duties and responsibilities for this role include:

• Submit authorizations for commercial, Medicare, and Medicaid policies
• Following up on submitted authorizations for status
• Research insurance payer requirements
• Solving problems and finding innovative solutions
• Ability to prioritize multiple responsibilities
• Making and receiving calls with a professional demeanor
• Flexible and adaptable
• Comfort with technology
• Monitor reports to identify trends, concerns, and/or areas of improvement
• Discuss findings with the potential of reporting up to management
• Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
• Compliance is a condition of employment and is considered an element of job performance.
• Maintain HIPAA/patient confidentiality
• Performs other duties as required
  
  

Required Qualifications:

• 2 years recent work history
  
  

Desired Qualifications:

• Bachelor’s degree from accredited university (any field)
• Prior work experience in healthcare or health insurance
  
  

What We Look For

We are looking for a highly motivated, talented individual with the following qualities:

• Detail oriented & critical thinker
• Excellent customer service skills
• High level of organization
• Strong decision maker
• Strong communicator
• Flexible and adaptable
• Empathetic, compassionate, inclusive
  
  

What to expect in the first 30 – 60 days:

• First 30 days you will be training on:
• 4 major internal programs
• Basic & complex strategies for resolving a insurance claim denial
• Key metrics & KPI’s
• Compliance rules & regulations
• Training is a combination of modules + one on one with supervisors and billers
• After 30-45 days, you will be responsible for working an assigned authorization report independently, answering phone calls independently, as well as the attending and contributing to the following meetings:
• Frequent one on one prioritization and Q&A sessions with supervisor
• Weekly all team meetings with all CGM Billing Team members
• Bi-monthly meetings with relevant support teams as needed
• Expect about 25% of your time to be spent collaborating; 75% of time to be spent working independently
  
  

Starting pay rate of $20 an hour

What Aeroflow Offers

Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!!

Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:

• Family Forward Certified
• Great Place to Work Certified
• 5000 Best Place to Work award winner
• HME Excellence Award
• Sky High Growth Award
  
  

If you’ve been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you!

Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care, Non-profit Organizations, and Government Administration

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