<p>Duties:</p> <ul> <li>Responsible for obtaining re-authorization requirements for on-going coverage of durable medical equipment. </li><li>Review and obtain necessary compliance documents, medical records and prescriptions in order to submit for re-authorization. </li><li>Responsible for assisting patients in the re-authorization process </li><li>Responsible for working with sales and clinical personnel to facilitate re-authorization tasks. </li><li>Review & work pending re-authorization tasks daily </li><li>Assist in the appeals process for denied re-authorizations </li><li>Travel as needed to provider's office/clinic/hospital to obtain records for re-authorization. </li><li>Contact patients to coordinate any necessary doctor's appointments needed in order to submit re-authorization </li><li>Notify RT/Sales teams regarding non-compliance and re-authorization deadlines that are not met </li><li>Establishes and maintains effective communication and good working relationship with co-workers for the patient's benefit. </li><li>Performs other clerical tasks as needed, such as answering phones, faxing, and emailing. </li><li>Completes other duties, as assigned </li><li>Communicates appropriately and clearly to Manager/Supervisor, and other superiors. Reports all concerns or issues directly to Regional Sales Manager. </li></ul> <p>Requirements:</p> <ul> <li>Learns and maintains knowledge of current patient database and billing system </li><li>Ability to understand re-authorization requirements </li><li>General knowledge of government, regulatory billing and compliance regulations/policies for Medicare, Medicare Advantage, Commercial Insurance & Medicaid </li><li>Medical Terminology background </li><li>Enough knowledge of policies and procedures to accurately answer questions from internal and external customers. </li><li>Utilizes initiative; maintains set level of productivity goals with ability to consistently and accurately </li></ul> <p>Experience:</p> <ul> <li>Clinical administrative experience preferred </li><li>Two years' experience in insurance office, doctor's office, or three years' general office experience. </li></ul> <p>Skills:</p> <ul> <li>Superior organizational skill. </li><li>Attention to detail and accuracy. </li><li>Ability to work as part of a health care team. </li><li>Effectively communicate with physicians, patients, insurers, colleagues and staff </li><li>Proficient in Microsoft Office, including Outlook, Word, and Excel </li></ul>