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    patient authorization coordinator - Tulsa, OK , USA, United States - Viemed Healthcare Inc.

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    Description

    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.

    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


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