Responsible for authorization submissions and authorization follow up by obtaining met daily expectations
• Responsible to determine a CRX and a valid prescription with formula calculation knowledge
• Insurance and payor portal navigation knowledge
• Meet daily, monthly, and quarterly metrics and goals set by management
• Communicate effectively with other departments to present solutions to any patient concerns
• Ensure work being performed meets internal and external compliance requirements
• Maintain confidentiality of all information; adhere to all HIPAA guidelines/regulations
• Various clerical work including faxing, scanning, and copying
Requirements
• High school graduate
• A minimum of 2 years proven experience
• Proficient in Microsoft suite of products including Outlook, Word and Excel
Preferences
• Education or experience equivalent to a bachelor’s degree in related field highly preferred
• Home Health/DME related experience preferred; knowledge of insurances a plus
Other Skills/Abilities
• Must be able to adhere to confidentiality standards and professional boundaries at all times
• Self-starter, able to display the highest level of integrity and respect for confidentiality.
• Ability to exercise effective judgment and sensitivity to changing needs and situations.
• Must have strong organization skills and be very detail-oriented.
