Patient Services Representative, Authorizations

Patient Services Representative, Authorizations

Exton, PA

About AOTI

Advanced Oxygen Therapy, Inc. (AOTI) is transforming the future of wound care through breakthrough technologies that improve the lives of patients with chronic non-healing and acute complex wounds.

At the heart of our mission is our patented, multimodality Topical Wound Oxygen (TWO2) therapy, the only device of its kind proven effective in both Randomized Controlled Trials (RCTs) and Real-World Evidence (RWE) studies. TWO2 has delivered exceptional clinical outcomes, including an 88% reduction in hospitalizations and a 71% reduction in amputations among patients with Diabetic Foot Ulcers (DFUs) over 12 months.

In addition to TWO2, we offer the NEXA NPWT System, an innovative, multi-week, multi-patient Negative Pressure Wound Therapy (NPWT) device designed to deliver the clinical benefits of traditional durable systems with the convenience and simplicity of disposable solutions. The NEXA System is portable, easy to operate, and cost-effectivemaking advanced wound care more accessible across diverse care settings, from hospitals to the home.

Backed by a world-class international leadership team and a robust global infrastructure, AOTI offers a unique opportunity to make a meaningful impact in healthcare.

If you're driven by purpose and want to be part of a company that's transforming wound care, we'd love to hear from you.

Why We're Hiring

As demand for our TWO2 therapy continues to grow, we are expanding our team to ensure we maintain the highest standards of patient care. We are looking for compassionate and motivated individuals to join us in delivering life-changing therapy to more patients across the country.

Position Summary

The Patient Services Representative, Authorizations is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all payers.

Location: Hybrid (Exton, PA or Oceanside, CA)

Employment Type: Full-Time (Remote)

Compensation

Salary Range: $22.00 - $24.00

Benefits

• Full benefits with a company-sponsored stipend
• 401(k) with company match
• Company-paid Basic Life, AD&D, Short-Term, and Long-Term Disability Insurance
• 11 Paid Holidays + 2 Floating Holidays
• Paid Vacation and Sick Time
• Paid Volunteer Time Off to give back to your community
• Employee Referral Bonuses
• Car allowance, fuel reimbursement, and corporate discounts

Key Responsibilities

• Ensure all insurance, demographic, and eligibility information is obtained and entered into the system(s) in an accurate manner.
• Perform insurance verification process.
• Obtain initial and subsequent pre-authorization for services.
• Ensure appropriate signatures are obtained on all necessary forms.
• Regular authorizations follow-up to obtain insurance determinations in a timely manner.
• Processing prior authorizations and authorization appeals as necessary.
• Provide customer service support and build relationships with wound care consultants and other teammates.
• Dispatch set-ups, pick-ups, and other tasks to field teammates.
• Schedule oxygen concentrator and controller set up and delivery as well as product shipments.
• Medical coding and billing for all third party and direct claims.
• Reviewing claims for accuracy before submission.
• Maintain accurate data and reference data in GoCanvas, third-party billing, and in-house ERP systems.
• Help train new hires on process and procedures within the department.
• Maintain training tools and develop new training tools as needed.
• Cross-trained in collections to follow up on unpaid claims.
• Demonstrate an understanding of patient confidentiality to protect the patient and corporation.
• Responds in a timely manner to all inquiries from customers, sales reps, and co-workers.
• Assists and communicates with all departments to help increase efficiency and accuracy.
• Performs all other duties assigned

Qualifications & Skills

• High School diploma or equivalent required, Bachelors in related field preferred.
• Position requires at least 3 years of medical office/provider/billing/collections work experience with insurance procedures.
• Must have excellent communication skills, written and verbal. Proficiency with computer, internet and Microsoft Office (Outlook, Word, and Excel). Experience with multiple payor portals a plus.
• Problem Solving - Identifies and resolves problems time efficiently; Gathers and analyzes information; Develops solutions; Uses reason

Physical Demands

• Occasionally required to sit.
• Occasionally required to walk.
• Occasionally required to use hands to finger, handle, or feel.
• Occasionally required to reach with hands and arms.
• Occasionally required to talk or hear.
• Occasionally required to bend, lift or climb.
• Occasionally required to lift up to (50 pounds or greater).
• Finger dexterity required.
• Hand coordination required.
• Specific vision abilities required for this job include close vision, distance vision, ability to adjust or focus.

Work Environment

• Exposure to adverse conditions.
• Exposure to moving mechanical parts.
• Exposure to high, precarious places.
• Exposure to outside weather conditions.
• Exposure to fumes or airborne particles.
• Possible risk of electrical shock.
• Protective clothing or equipment is required including gloves, covered shoes, protective eyewear.

Equal Opportunity Employer

Advanced Oxygen Therapy, Inc. is an Equal Employment Opportunity Employer and does not discriminate against applicants or employees on the basis of race, color, religion, creed, national origin, ancestry, disability that can be reasonably accommodated without undue hardship, sex, sexual orientation, gender identity, age, citizenship, marital or veteran status, or any other legally protected status.

Data Privacy Notice

We collect and use personal information you provide in your application, such as your name, contact details, and professional experience, to evaluate your qualifications and manage our recruiting process. We may also obtain information from publicly available sources or referrals in connection with recruiting activities. We retain this information for a limited period in accordance with applicable laws and our internal policies. You may request access to, correction of, or deletion of your personal information at any time by contacting us at View email address on click.appcast.io.

Join Us

Join AOTI and help us grow our impactone patient at a time