Reauthorization Specialist at Sleep Management, LLC dba Viemed in Lafayette, Louisiana

Job Description:

­­­­­­­­­­­­­­­­­­­ Duties:

1. Responsible for obtaining re-authorization requirements for on-going coverage of durable medical equipment.
2. Review and obtain necessary compliance documents, medical records and prescriptions in order to submit for re-authorization.
3. Responsible for assisting patients in the re-authorization process
4. Responsible for working with sales and clinical personnel to facilitate re-authorization tasks.
5. Contact patients to coordinate any necessary doctor’s appointments needed in order to submit re-authorization
6. Notify RT/Sales teams regarding non-compliance and re-authorization deadlines that are not met
7. Establishes and maintains effective communication and good working relationship with co-workers for the patient’s benefit.
8. Completes other duties, as assigned
9. Communicates appropriately and clearly to Manager/Supervisor, and other superiors. Reports all concerns or issues directly to Regional Sales Manager.
10. Communicate with executive management on trends, challenges and potential solutions for ongoing reauthorizations

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

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

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