Ancillary Product Coordinator

Overview This position is responsible for efficiently securing prior authorization or payor source for dentures in multiple states. Duties will include assisting patients, providers and billing staff with coordinating of referrals, obtaining authorizations and scheduling for delivery. This coordinator must understand benefits coverage, coding of services, billing and ensure patient’s care is coordinated from scheduling to delivery of devices. Responsibilities Secure payor sources or prior authorization in multiple states through various state, commercial and private insurances. Consistently checks eligibility for every resident and submits prior authorization when applicable. Coordinate and prepare financial estimates, purchase orders and invoices for patients and nursing homes. Reviews benefits and educates patient or nursing homes employees on insurance coverage. Follows-up in a timely manner on all prior authorizations to ensure no care gaps. Maintains denture tracking in EMR systems. Design, develop, update and manage Company user and system administration guides, videos and ancillary training documentation ensuring the content is up to date at all times. Develop curriculum and materials to support new providers. Responsible for post-op of all ancillary specialties, including claim creation. Maintains data management and processing referrals in assigned territory for all ancillary specialties. Actively supports and complies with all components of the compliance program, including, but not limited to, completion of training and reporting of suspected violations of law and Company policy. Maintains confidentiality of all information; abides with HIPAA and PHI guidelines at all times. Reacts positively to change and performs other duties as assigned. Qualifications High School Diploma (or GED) required, college degree or experience preferred. Dental experience both front and back office preferred. Electronic Medical Records experience required. Critical thinking/Solution-based skills required for a time sensitive environment. Strong time management skills. Ability to multi-task and work within a fast-paced environment. Strong attention to detail. Must be deadline driven and have a sense of urgency. Must have excellent communication skills, both written and verbal. Proficiency with Microsoft Office Suite required. We will only employ those who are legally authorized to work in the United States. Any offer of employment is conditional upon the successful completion of a background investigation and drug screen. We are an equal opportunity employer. #J-18808-Ljbffr 360Care