360care · 1 week ago
Ancillary Product Coordinator
360care is a healthcare company focused on providing support for patients and providers. The Ancillary Product Coordinator is responsible for securing prior authorizations for dentures, coordinating referrals, and ensuring patient care is managed efficiently from scheduling to delivery.
CommunitiesElder CareHealth Care
Responsibilities
Secure payor sources or prior authorization in multiple states through various state, commercial and private insurances
Consistently checks eligibility for every resident and submits prior authorization when applicable
Coordinate and prepare financial estimates, purchase orders and invoices for patients and nursing homes
Reviews benefits and educates patient or nursing homes employees on insurance coverage
Follows-up in a timely manner on all prior authorizations to ensure no care gaps
Maintains denture tracking in EMR systems
Design, develop, update and manage Company user and system administration guides, videos and ancillary training documentation ensuring the content is up to date at all times
Develop curriculum and materials to support new providers
Responsible for post-op of all ancillary specialties, including claim creation
Maintains data management and processing referrals in assigned territory for all ancillary specialties
Actively supports and complies with all components of the compliance program, including, but not limited to, completion of training and reporting of suspected violations of law and Company policy
Maintains confidentiality of all information; abides with HIPAA and PHI guidelines at all times
Reacts positively to change and performs other duties as assigned
Qualification
Required
High School Diploma (or GED) required
Electronic Medical Records experience required
Critical thinking/Solution-based skills required for a time sensitive environment
Strong time management skills
Ability to multi-task and work within a fast-paced environment
Strong attention to detail
Must be deadline driven and have a sense of urgency
Must have excellent communication skills, both written and verbal
Proficiency with Microsoft Office Suite required
Preferred
College degree or experience preferred
Dental experience both front and back office preferred