Lead Prior Auth Coordinator

Position Summary: This position acts as a subject matter expert that assists with coordinating and participate in a variety of supportive patient care/clinic preparations that assist medical professional personnel, billing and inventory management.

Responsibilities of Position: 

• Performs a variety of duties involved in greeting and directing patients, their families, vendors, pharmaceutical representatives, and other Dent business associates
• Leads prior authorizations team by answering questions, assisting with difficult authorizations, or identifying potential trends that should be discussed further with Infusion Operations Manager
• Responsible for submitting, verifying, and following up on prior authorization requests.
• Assist in calling specialty pharmacies to enroll new start patients and scheduling medication deliveries
• Provide copay assistance information to patients
• Works with our billing department for patients with insurance changes and making sure authorizations have been updated prior to their appointments
• Completes a final review of the schedule for next day patients, which includes reviewing authorizations and procurement methods are valid and correct
• Run analysis reports from our prior authorizations platforms
• Works closely with Infusion Operations Manager on project tasks which may include training, feedback sessions, analysis projects, and communication with payers or web based authorization platforms
• Assist with ensuring medications and all required documents have arrived for patients appointments
• Assist with unpacking and restocking medication deliveries as needed
• Provides information to patients and their families on such matters as services, charges and routine treatment procedures 
• Assist with schedule any same day add on infusions and new start patients
• Checks patients in and advises nursing staff of their arrival; checks patients out and schedules follow-up appointment
• Assist with filing faxes that arrive on a daily basis and distribute appropriately and in a timely manner
• Answers the telephone and provides information
• Maintain work area in clean and orderly condition
• May assist with training of new hires
• Complies with quality assurance, HIPAA, customer focus, infection control, safety and other policies as set forth
• Ensures adequate and appropriate patient follow-up regarding appointments and paperwork
• Represents the Dent by displaying a respectful and caring manner with patients and their families
• Independently problem solves and utilizes resources to obtain patient information when patient is unable to communicate.   Maintains confidentiality of patient information
• Interacts calmly, respectfully and in a friendly manner with other representatives of services at the Dent
• Performs other duties as assigned or requested

Skills & Experience Necessary: 

• High degree of verbal communication and interpersonal skills to determine needs, provide information, and provide emotional support
• Working knowledge of Microsoft office, specifically Excel.
• Strong planning, problem solving, organizational, verbal communication, and interpersonal skills
• Working knowledge of general office equipment including fax and copy machines, multi-line phone system, and personal computer
• Ability to address and resolve conflict in a professional manner
• Ability to maintain strict confidentiality
• Ability to be flexible
• Ability and willingness to travel as needed to meet operational needs

Required Education 

Working Conditions:

• Moderate physical effort, including assistance to the disabled patient in transfers to and from wheelchairs, exam tables, bathroom etc.
• Associated health risks related to patient exposure including body fluids and needles.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Requires some lifting usually not in excess of 25 pounds

Travel

EEO Statement 

Dent Neurologic Institute offers an inclusive work environment built on kindness and respect for all.  Dent provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws as the basis for an employment decision.  All qualified individuals are encouraged to apply and will receive consideration