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.
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.
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.
Communicate with executive management on trends, challenges and potential solutions for ongoing reauthorizations
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 administratvie 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
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Equal employment opportunity, including veterans and individuals with disabilities.
