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

By 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.