What are the responsibilities and job description for the Authorization/Billing Coordinator position at Ideal Home Care Rehab & DME?
Independently owned Durable medical equipment company seeking a responsible, hardworking, honest individual to join our team.
Entry level position, willing to train the right reliable candidate.
The authorization coordinator is responsible for connecting with patients, physicians, caregivers, or facilities to confirm equipment is still needed, requesting authorization from providers office, medical groups via fax, email or portals & following up on each request. The goal is to obtain a new authorization before the existing authorization expires.
Focus on scheduling equipment returns when DME is no longer needed or for other reasons and assisting billing with daily claims and claim disputes and patient billing.
Responsibilities:
•Obtain authorization for patient care (initial authorization, reauthorization, follow-up on prior authorization, etc.)
•Verify insurance eligibility; monthly rentals, contact patients and departments with any positive/negative outcomes
•Regular contact with patients, insurance plans, physician offices, and other personnel
•Run daily claim and authorization reports
•Assist billing with claims issues due to insurance authorization denials
•The position will entail the timely submission of authorization requests to assigned payers
•Submission of requests will be completed using paper forms, printed documentation, fax, online portals, or other means
•Complete follow-up on requests to ensure timely turnaround and approval
•Understand payer requirements to ensure approval is granted
•Escalate problem accounts and ensure resolution
•Work closely with the clinical teams and referral sources regarding current and future authorization needs
•Maintain progress/tracking reports on outstanding authorization to ensure timely request, receipt, and processing of authorization
•Collect, review, discuss, and document demographic, insurance, and financial information with patients and payers
•Schedule equipment return when no longer needed or authorized.
•Other duties as assigned
Requirements:
Bilingual (preferred)
Customer Service and people skills
Well-organized with attention to detail and problem solving skills
Ability to multi-task effectively
High integrity, team player with patient service focus and flexibility
Proficiency with Microsoft Office, Outlook and sheets.
Excellent verbal and written communication skills
Job Type: Full-time
Pay: $16.00 per hour
Expected hours: 40 per week
Benefits:
- Health insurance
- Paid time off
- Referral program
Weekly day range:
- Monday to Friday
Application Question(s):
- Did you review compensation details?
Language:
- Spanish (Preferred)
License/Certification:
- Medical Billing Certification (Preferred)
Work Location: In person
Salary : $16