Patient Authorization Coordinator

Viemed,-LLC; Lafayette (LA); On-site; USD 38,000 - 60,000; Full time

Job summary

Viemed, LLC is seeking a Re-authorization Coordinator in Lafayette, LA to manage ongoing DME re-authorization, obtain medical records, and coordinate with clinicians and sales teams. This role supports patients through the re-authorization process and ensures compliance with Medicare, Medicaid, and commercial payers.

The position requires knowledge of medical terminology and proficiency with Microsoft Office; strong organizational and communication skills are essential for success.

Qualifications

• 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

Responsibilities

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

Skills

Superior organizational skill

Attention to detail and accuracy

Team-based health care collaboration

Effective communication with doctors/p

Microsoft Office proficiency (Outlook,

Education

Medical Terminology background

Tools

Microsoft Office Suite (Outlook, Word, Excel)

Job description

• Responsible for obtaining re-authorization requirements for on-going coverage of durable medical equipment.
• Review and obtain necessary compliance documents, medical records and prescriptions in order to submit for re-authorization.
• Responsible for assisting patients in the re-authorization process
• Responsible for working with sales and clinical personnel to facilitate re-authorization tasks.
• Review & work pending re-authorization tasks daily
• Assist in the appeals process for denied re-authorizations
• Travel as needed to provider’s office/clinic/hospital to obtain records for re-authorization.
• Contact patients to coordinate any necessary doctor’s appointments needed in order to submit re-authorization
• Notify RT/Sales teams regarding non-compliance and re-authorization deadlines that are not met
• Establishes and maintains effective communication and good working relationship with co-workers for the patient’s benefit.
• Performs other clerical tasks as needed, such as answering phones, faxing, and emailing.
• Completes other duties, as assigned
• 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
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