Patient Authorization Coordinator

Sleep Management, LLC dba Viemed; Lafayette (LA); On-site; USD 32,000 - 46,000; Full time

Job summary

Sleep Management, LLC dba Viemed is seeking a Patient Authorization Coordinator to manage re-authorization for durable medical equipment. You will gather documents, coordinate with patients, clinicians and insurers, and submit re-authorizations.

The role requires knowledge of billing regulations (Medicare/Medicaid), strong organizational and communication skills, and the ability to work with sales and clinical staff to meet deadlines.

Qualifications

• Knowledge of current patient database and billing system.
• Understanding of re-authorization requirements.
• General knowledge of government, regulatory billing and compliance for Medicare, Medicare Advantage, Commercial Insurance & Medicaid.
• Medical Terminology background.
• Knowledge of policies and procedures to answer questions from internal and external customers.
• Maintains productivity goals with initiative.

Responsibilities

• Obtain re-authorization requirements for ongoing DME coverage.
• Review and obtain compliance docs, medical records, and prescriptions for re-authorization.
• Assist patients in the re-authorization process.
• Coordinate re-authorization tasks with sales and clinical staff.
• Process pending re-authorization tasks daily.
• Assist in appeals for denied re-authorization.

Skills

Superior organizational skill

Attention to detail and accuracy

Ability to work as part of a health ca

Effective communication

Tools

Microsoft Office (Outlook/Word/Excel)

Job description

Sleep Management, LLC dba Viemed

Patient Authorization Coordinator

Job Category: Sleep Management, LLC

Requisition Number: PATIE003588

Full-Time

Duties:

1. Responsible for obtaining re-authorization requirements for on-going coverage of durable medical equipment.
2. Review and obtain necessary compliance documents, medical records and prescriptions in order to submit for re-authorization.
3. Responsible for assisting patients in the re-authorization process
4. Responsible for working with sales and clinical personnel to facilitate re-authorization tasks.
5. Review & work pending re-authorization tasks daily
6. Assist in the appeals process for denied re-authorizations
7. Travel as needed to provider’s office/clinic/hospital to obtain records for re-authorization.
8. Contact patients to coordinate any necessary doctor’s appointments needed in order to submit re-authorization
9. Notify RT/Sales teams regarding non-compliance and re-authorization deadlines that are not met
10. Establishes and maintains effective communication and good working relationship with co-workers for the patient’s benefit.
11. Performs other clerical tasks as needed, such as answering phones, faxing, and emailing.
12. Completes other duties, as assigned
13. Communicates appropriately and clearly to Manager/Supervisor, and other superiors. Reports all concerns or issues directly to Regional Sales Manager.

Requirements:

• Learns and maintains 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.
• Utilizes initiative; maintains set level of productivity goals with ability to consistently and accurately

Experience:

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

Skills:

• Superior organizational skill.
• Attention to detail and accuracy.
• Ability to work as part of a health care team.
• Effectively communicate with physicians, patients, insurers, colleagues and staff
• Proficient in Microsoft Office, including Outlook, Word, and Excel

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

PI287570779