Patient Authorization Coordinator

VieMed Healthcare; Lafayette (LA); Presencial; USD 22.000 - 30.000; Jornada completa

Descripción de la vacante

VieMed Healthcare in Lafayette, LA seeks a detail-oriented healthcare administrator to manage re-authorization processes for durable medical equipment. You will gather medical records, prescriptions, and compliance documents to submit timely re-authorization requests and assist patients through the process.

In this role, you will collaborate with sales and clinical staff to facilitate tasks, track pending items, and support appeals when denials occur.

Formación

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

Responsabilidades

• Obtain re-authorization requirements for ongoing coverage of durable medical equipment.
• Review and obtain compliance documents, medical records and prescriptions for re-authorization submissions.
• Assist patients in the re-authorization process.
• Coordinate re-authorization tasks with sales and clinical personnel.
• Review pending re-authorization tasks daily and manage timelines.
• Assist in the appeals process for denied re-authorizations.
• Travel to provider offices to gather records for re-authorization as needed.
• Contact patients to schedule doctor appointments required for submission.
• Notify RT/Sales teams about non-compliance and deadlines.
• Maintain effective communication with co-workers for patient benefit.
• Perform general clerical tasks (phones, faxing, emailing).
• Complete other duties as assigned and report concerns to management.

Conocimientos

Organizational skills

Attention to detail

Teamwork

Communication

MS Office (Outlook, Word, Excel)

Herramientas

Microsoft Office Suite

Descripción del empleo

• 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.

Duties

• 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