Patient Authorization Coordinator

About the role

The Patient Authorization Coordinator interacts and works closely with many other employees including clinical sales specialists, physicians, nurses, office staff, case managers for all manufacturers, and patients/patient families. This position is based at the corporate office. The Patient Authorization Coordinator provides continual verification and eligibility for all existing patients, under the direction of the DME Operations Supervisor, and contributes greatly to the overall satisfaction of customers, vendors, and business associates.

Key responsibilities

• Verify and maintain eligibility for all existing patients
• Request clinical data from the patient's Endocrinologist or other physician's office as necessary for the re-authorization process
• Submit requests for re-authorization to the insurance company
• Provide timely follow-up on requests for re-authorization dates
• Document all pertinent information on the case management authorization form and in Brightree and QS1 system
• Create tasks in Brightree for future authorizations
• Adhere to formulary guidelines and follow protocol in place
• Request interim supplies as necessary and appropriate
• Perform other related duties as required and assigned

Qualifications:

• High School graduate, or equivalent
• One year of experience in a similar position, preferred
• Strong verbal and written communication skills
• Knowledgeable in basic office operations and able to perform multiple tasks simultaneously
• Able to work under pressure and delineate priorities when workload is abundant
• Able to represent the company in a professional manner
• Maintain HIPAA (Health Insurance Portability and Accountability Act) compliance in accordance with company provisions and understand obligations under the Privacy Rule
• Able to perform the essential duties of this position without posing a direct threat to the health or safety of self or others

Benefits:

• HMO with 1 free dependent upon hire
• Life Insurance
• 20 PTO credits annually
• VL and SL cash conversion
• Annual Performance-Based Merit Increases and Employee Recognition
• Great Company Culture
• Career Growth and Learnings