What are the responsibilities and job description for the Patient Authorization Coordinator position at VieMed Healthcare?
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.
- 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
- Clinical administrative experience preferred
- Two years’ experience in insurance office, doctor's office, or three years’ general office experience.
- 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