Alivia Health
Guaynabo, PR
In general, a Pre-Authorization Coordinator will be responsible for the following tasks: Gather ALL necessary information and supporting documents to comply with MCO requests in order to promptly determine treatment Authorization or Denial. Contact insurance companies or other payers to complete prior authorization requirements, identify the co-payment structure and investigate coverage and benefits Communicating with patients to inform co-pay/deductible amount. and informing about Alivia’s Patient Assistance Programs (PAP). Referring to PAP, as appropriate Conduct benefit coordination on behalf of patients, when applicabl Determine patient eligibility Request authorization modifications, as needed Index documents in patients’ records in a timely manner Respond to incoming calls with excellent customer service standards and following up with pending tasks (internal or external); Meet management’s production standards, whether quantitative or qualitative Other duties:...
