Patient Authorization Coordinator

VieMed Healthcare; Memphis (TN); On-site; USD 40,000 - 60,000; Full time

Job summary

A healthcare company in Memphis is seeking a Patient Authorization Coordinator. The role involves facilitating patient re-authorization for coverage, ensuring compliance with insurance policies, and assisting patients throughout the process. Candidates must possess strong communication skills, a background in medical terminology, and proficiency in Microsoft Office. Experience in clinical administration or insurance settings is preferred. Join a supportive team dedicated to patient care.

Qualifications

• Must understand re-authorization requirements and insurance policies.
• Ability to maintain a productive work rate and attention to detail.
• Experience in clinical administration or related fields preferred.

Responsibilities

• Obtain re-authorization for medical equipment coverage.
• Assist patients and coordinate doctor appointments.
• Communicate with sales and clinical teams on re-authorization tasks.

Skills

Re-authorization knowledge

Medical Terminology

Effective communication

Organizational skills

Proficiency in Microsoft Office

Job description

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Responsibilities

• Obtain 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 and coordinate required doctor appointments.
• Work with sales and clinical personnel to facilitate re‑authorization tasks daily.
• Assist in the appeals process for denied re‑authorizations.
• Travel to provider offices, clinics or hospitals to obtain records for re‑authorization.
• Notify RT/Sales teams of non‑compliance and unmet re‑authorization deadlines.
• Maintain effective communication and a good working relationship with co‑workers for patient benefit.
• Perform other clerical tasks as needed, such as answering phones, faxing and emailing.
• Communicate clearly to Manager/Supervisor and report concerns directly to the Regional Sales Manager.

Requirements

• Learns and maintains knowledge of current patient database and billing system.
• Understand re‑authorization requirements and general knowledge of Medicare, Medicare Advantage, Commercial Insurance & Medicaid policies.
• Medical Terminology background and ability to answer questions from internal and external customers.
• Initiative and maintain a set level of productivity goals consistently and accurately.
• Superior organizational skill and attention to detail.
• Effective communication with physicians, patients, insurers, colleagues and staff.
• Proficient in Microsoft Office, including Outlook, Word and Excel.

Experience

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