Patient Authorization Coordinator

VieMed Healthcare; Jackson (TN); On-site; USD 35,000 - 45,000; Full time

Job summary

A healthcare services provider is seeking a dedicated Patient Authorization Coordinator to facilitate the re-authorization process for durable medical equipment. The role involves obtaining necessary compliance documents, assisting patients, and collaborating with clinical teams. Ideal candidates should have superior organizational skills, an understanding of billing regulations, and the ability to work effectively in a healthcare environment. This is an entry-level, full-time position based in Tennessee.

Qualifications

• Knowledge of current patient database and billing system.
• Understanding of re-authorization requirements.
• General knowledge of billing and compliance regulations.

Responsibilities

• Obtain re‑authorization requirements for durable medical equipment.
• Assist patients in the re‑authorization process.
• Work with sales and clinical personnel for re‑authorization tasks.

Skills

Superior organizational skills

Attention to detail and accuracy

Ability to work as part of a healthcare team

Effective communication with physicians, patients, insurers, colleagues, and staff

Proficiency in Microsoft Office

Job description

Join to apply for the Patient Authorization Coordinator role at VieMed Healthcare.

Responsibilities

• Responsible for obtaining re‑authorization requirements for ongoing coverage of durable medical equipment.
• Review and obtain necessary compliance documents, medical records and prescriptions to submit for re‑authorization.
• Assist patients in the re‑authorization process.
• Work with sales and clinical personnel to facilitate re‑authorization tasks.
• Review and work pending re‑authorization tasks daily.
• Assist in the appeals process for denied re‑authorizations.
• Travel as needed to provider’s office, clinic, or hospital to obtain records for re‑authorization.
• Contact patients to coordinate any necessary doctor's appointments required for re‑authorization.
• Notify RT/Sales teams regarding non‑compliance and re‑authorization deadlines that are not met.
• Establish and maintain effective communication and a good working relationship with co‑workers for the patient’s benefit.
• Perform other clerical tasks as needed, such as answering phones, faxing, and emailing.
• Communicate appropriately and clearly to Manager/Supervisor and other superiors. Report all concerns or issues directly to Regional Sales Manager.

Requirements

• Learn and maintain knowledge of current patient database and billing system.
• Ability to understand re‑authorization requirements.
• General knowledge of government, regulatory billing and compliance regulations/policies for Medicare, Medicare Advantage, Commercial Insurance & Medicaid.
• Medical terminology background.
• Enough knowledge of policies and procedures to accurately answer questions from internal and external customers.
• Utilize initiative; maintain set level of productivity goals with ability to consistently and accurately.

Experience

• Clinical administrative experience preferred.
• Two years’ experience in an insurance office or doctor's office, or three years’ general office experience.

Skills

• Superior organizational skills.
• Attention to detail and accuracy.
• Ability to work as part of a healthcare team.
• Effective communication with physicians, patients, insurers, colleagues, and staff.
• Proficiency in Microsoft Office, including Outlook, Word, and Excel.

Seniority level

Entry level

Employment type

Full-time

Job function

Health Care Provider

Industries

Hospitals and Health Care