Prior Authorizations Specialist - Pulmonary

Hartford HealthCare; Glastonbury (CT); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Competitive benefits program for work/life balance

Job summary

Hartford HealthCare is seeking an Authorization Coordinator for the Pulmonary Sleep Centers in Glastonbury, CT. The role involves obtaining authorizations for Home Sleep Testing, scheduling appointments, providing patient education, and maintaining testing equipment. Candidates should have at least one year of medical receptionist or care coordination experience and direct customer service in the medical field. Join a team that values each moment of care offered to patients and ensures a balanced work-life experience.

Qualifications

• Minimum of 1 year as a medical receptionist or care coordination experience.
• Direct customer service experience in the medical field.

Responsibilities

• Obtain authorizations for Home Sleep Testing and schedule appointments.
• Educate patients on equipment usage and troubleshoot issues.
• Verify insurance eligibility and obtain necessary authorizations.
• Maintain inventory of test devices and supplies.

Skills

Medical receptionist experience

Customer service in medical field

Job description

Location Detail: 704 Hebron Ave Glastonbury (10232)

Shift Detail: Mon-Fri

Work where every moment matters.

Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.

Hartford HealthCare Medical Group is one of the largest medical practices in New England with multiple locations throughout Connecticut and Rhode Island. We consist of a team of professionals ranging from Medical Assistants to Physician Assistants and everything in between. Our physician‑led medical group enjoys an excellent reputation with patients and the medical community, offering primary care, urgent care and more than 30 different specialties.

Job Summary

Authorization Coordinators in HHCMG Pulmonary Sleep Centers are responsible for obtaining authorizations for Home Sleep Testing. Also responsible for all the aspects of the home sleep testing process, including scheduling appointments for test, device preparation and setup, patient education, troubleshooting, and accurate data download and transfer for clinical interpretation. This role supports efficient access, enhances patient experience, and ensures high‑quality diagnostic testing within the Sleep Medicine program.

• Manage WQ’s to ensure orders for testing are processed properly and in a timely manner to obtain authorizations and schedule appointments for patients to pick up equipment for test.
• Provide patients with instructions as well as a demonstration on how to properly utilize equipment for test. Upload data for all completed test through appropriate software, ensure all test reports are accurately uploaded and routed to the correct physician for scoring and interpretation. Collaborate closely with the team of physicians for any unsuccessful collected data, to determine if patient requires to repeat the test.
• Verify insurance eligibility, benefits and obtain all necessary prior authorizations insurance approvals and copays.
• Prepare, configure, and assign HST units based on provider orders. Ensure all devices are charged, calibrated, cleaned, and ready for use.
• Maintain inventory of sensors, belts, and device supplies.

Qualifications

• Minimum of 1 year as a medical receptionist or previous care coordination experience.
• Direct customer service experience in the medical field.

Benefits: Competitive benefits program designed to ensure work/life balance.