Patient Authorization Coordinator (Field Specialist)

Job Description

Job Description

Essential Duties and Responsibilities:  

Patient Authorization Coordinator-Field Specialist (PAC Field Specialist) serves as a field extension of the Patient Authorization Coordinator (PAC) team. This role supports patients at risk of therapy interruption during reauthorization and insurance change processes by obtaining required clinical documentation directly from physician offices, clinics, hospitals, and patient homes. 

The position requires daily travel within a defined territory (approximately a 2-hour service radius) and proactive collaboration with Clinical Operations, Sales, and Operational Efficiency leadership to resolve documentation barriers that impact patient continuity of care. 

• Responsible for obtaining re-authorization documentation for on-going coverage of durable medical equipment. 

• Review and obtain necessary compliance documents, medical records and prescriptions in order to submit for re-authorization. 

• Responsible for assisting patients in the re-authorization process.
• Responsible for working with sales and clinical personnel to facilitate re-authorization tasks. 

• Review & work pending re-authorization tasks daily.
• Assist in the appeals process for denied re-authorizations.
• Travel to physician offices, clinics, and hospitals to obtain documentation required for reauthorization and insurance change approvals 

• Retrieve in person physician signatures, chart notes, prescriptions, and compliance documentation as required 

• Assist with in person escalation workflows when remote outreach efforts have not produced results 

• Coordinate with PAC team members to prioritize high-impact patient interventions
• Serve as a local resource for Clinical Ops and Sales teams needing field intervention 

• Retrieve compliance downloads directly from patient homes when remote connectivity is unavailable 

• Take direction from Operational Efficiency, Clinical Operations, and Sales leadership regarding priority field interventions 

• Communicate status updates on documentation recovery attempts
• Maintain consistent field presence within assigned coverage area
• Expected to travel 6–7 hours daily
• Organize daily routes based on priority patient needs and documentation urgency
• Support multiple territories as needed based on operational demand
• Assist with other PAC-related workflow support tasks as assigned

 

Qualifications

• Clinical administrative experience preferred
• Experience working in physician offices, DME, respiratory care, insurance authorization, or healthcare documentation workflows preferred

• Minimum two years healthcare office experience or equivalent field coordination experience 

 

Required Skills and Abilities

• Strong understanding of reauthorization workflows
• Familiarity with insurance change documentation requirements
• Knowledge of Medicare, Medicare Advantage, Commercial, and Medicaid documentation requirements preferred

• Ability to operate independently in a field-based role
• Strong organizational and route-planning skills
• Effective communication with provider offices, patients, RTs, and internal leadership

• Ability to prioritize high-impact therapy-retention opportunities
• Proficiency with Microsoft Office applications
• Comfortable working in a travel-intensive role

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