Change Order Representative

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

• High school graduate
• A minimum of 2 years proven experience 
• Proficient in Microsoft suite of products including Outlook, Word and Excel

• 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.