Remote Authorization Specialist (Medical) – Home Infusion

The-Promptcare-Companies,-Inc; United States; Remote; USD 42,000 - 56,000; Full time

Benefits offered by this job

Medical + dental + vision

401(k) with match

Generous PTO

Life Insurance

Employee Assistance Program

Disability Insurance

FSA/HSA

Commuter Benefits

Volunteer opportunities

Exclusive discounts

Job summary

The PromptCare Companies is seeking a remote Patient Admissions Coordinator to manage initial authorization submissions to payers for Home Infusion Therapy. You will follow up on pending requests, interpret payer requirements, and escalate issues to ensure timely approvals.

Strong communication with patients, offices, and plan administrators is essential to maintain compliant, accurate records. The role emphasizes HIPAA compliance, teamwork, and maintaining authorization documentation per SOPs,

Qualifications

• High School Diploma or equivalent.
• Experience in medical office and patient contact.
• Excellent oral and written communication skills are required to communicate with colleagues, management, patients, and physician offices.
• Medical Reimbursement background is preferred.
• Experience with authorization submission.

Responsibilities

• Submission of authorization requests to insurance payers for Home Infusion Therapy.
• Oversight of the completion of follow-up on pending authorizations.
• Review authorization approvals and denials for accuracy and initiate appeal process until the case is overturned, appeal options are exhausted, or a decision is made to discontinue the process.
• Documents details of all calls, faxed, and email communications in CPR+ per SOP of the department.
• Maintains documented record of approved/denied authorizations in the patients’ chart for reference.
• Maintains strict confidentiality and adhere to HIPPA guidelines and regulations.
• Maintains a broad range of knowledge of insurance plan requirements, medical terminology, government regulation, and codes.
• Work as a team player and shares knowledge gained per insurance updates and communications with management and team members.
• Other duties as assigned by Intake Manager.

Skills

Medical office experience

Communication skills

Authorization submissions

Education

High School Diploma or equivalent

Tools

CPR+ system

Job description

The PromptCare Companies is seeking a remote Patient Admissions Coordinator to manage initial authorization submissions to payers for Home Infusion Therapy. You will follow up on pending requests, interpret payer requirements, and escalate issues to ensure timely approvals.

Strong communication with patients, offices, and plan administrators is essential to maintain compliant, accurate records. The role emphasizes HIPAA compliance, teamwork, and maintaining authorization documentation per SOPs,