Patient Authorization Coordinator (Field Specialist)
VieMed
Patient Authorization Coordinator-Field SpecialistEssential Duties and Responsibilities:Patient Authorization Coordinator-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.Responsibilities include: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 approvalsRetrieve in person physician signatures, chart notes, prescriptions, and compliance documentation as requiredAssist with in person escalation workflows when remote outreach efforts have not produced resultsCoordinate with PAC team members to prioritize high-impact patient interventionsServe as a local resource for Clinical Ops and Sales teams needing field interventionRetrieve compliance downloads directly from patient homes when remote connectivity is unavailableTake direction from Operational Efficiency, Clinical Operations, and Sales leadership regarding priority field interventionsCommunicate status updates on documentation recovery attemptsMaintain consistent field presence within assigned coverage areaExpected to travel 6–7 hours dailyOrganize daily routes based on priority patient needs and documentation urgencySupport multiple territories as needed based on operational demandAssist with other PAC-related workflow support tasks as assignedQualifications:Clinical administrative experience preferredExperience working in physician offices, DME, respiratory care, insurance authorization, or healthcare documentation workflows preferredMinimum two years healthcare office experience or equivalent field coordination experienceRequired Skills and Abilities:Strong understanding of reauthorization workflowsFamiliarity with insurance change documentation requirementsKnowledge of Medicare, Medicare Advantage, Commercial, and Medicaid documentation requirements preferredAbility to operate independently in a field-based roleStrong organizational and route-planning skillsEffective communication with provider offices, patients, RTs, and internal leadershipAbility to prioritize high-impact therapy-retention opportunitiesProficiency with Microsoft Office applicationsComfortable working in a travel-intensive roleBy submitting your application and participating in the interview process, you acknowledge and consent that interviews, video meetings, phone screenings, and other recruiting interactions may be recorded for evaluation, training, quality assurance, compliance, and hiring purposes. These recordings may be reviewed by authorized company personnel and may be processed using artificial intelligence or automated tools to assist with notetaking, transcription, scheduling, candidate evaluation support, and other recruiting functions. No employment decision will be based on automated processing. By submitting an application and participating in the interview process, you acknowledge and consent to the recording and processing in accordance with applicable laws and company privacy policies.Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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