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As a Patient Access Respresentative with Aveanna, you'll be responsible for proactively requesting and obtaining prescriptions and authorizations from medical offices and insurance companies for a set portfolio of patients. Contact physicians, practice staff, payer representatives and patients on a daily basis to review scheduled services and to ensure complete and accurate information is documented. Looking to work for a compassionate company that cares deeply for their patients? You've found us! Here at Aveanna we are dedicated to bringing new possibilities and new hope to those we serve.Come join our team of caring and talented team members!
Job Responsibility:
Proactively requesting and obtaining prescriptions and authorizations from medical offices and insurance companies for a set portfolio of patients
Contact physicians, practice staff, payer representatives and patients on a daily basis to review scheduled services and to ensure complete and accurate information is documented
Send prescription and authorization requests to medical offices and insurance companies for renewals and prescription/insurance changes
Follow up with medical offices and insurance companies as needed to ensure requests are received in timely manner
Resolve patient, medical office and insurance company questions and concerns regarding Certificate of Medical Necessity (CMN) and/or Participating Provider (PAR)
Re-verify monthly patient eligibility for continued services
Meet daily, monthly and quarterly metrics and goals set by management
Ensure work being performed meets internal and external compliance requirements
Requirements:
High school diploma or GED
Two years in a related administrative/customer service role
healthcare or medical office
Proficient in Microsoft suite of products including Outlook, Word and Excel
Strong basic math and accounting skills
Strong critical thinking and problem solving skills
Must possess a strong sense of urgency and attention to detail
Excellent written and verbal communication skills
Proven ability to work independently at times and within a team
Ability to adapt to change
Demonstrated ability to prioritize multiple tasks to meet deadlines
Demonstrated ability to interact in a collaborative manner with other departments and teams
Nice to have:
Associates Degree in medical office management, medical insurance, or medial coding
Insurance authorization and/or precertification
Knowledge of home health, DME and Enteral nutrition products