- Monitor monthly insurance eligibility and authorization status for assigned active patients.
- Review CareTend queues and ensure authorizations are current and on file before service delivery.
- Identify coverage changes and obtain updated insurance or clinical documentation from patients, sales teams, and physicians.
- Notify Reimbursement Specialists when new benefits verification or prior authorizations are required.
- Answer benefits and authorization questions as the primary contact for patients, providers, and field partners.
- Collaborate with reimbursement, nurse coordination, pharmacy operations, and data entry teams to keep cases moving forward.
- Communicate potential delays proactively to downstream teams.
- Document patient, provider, and internal communications accurately in systems of record.
- Track referral status, volume, and workload metrics to organize daily activities and meet service goals.
- Support PAL-Pending duties as needed to ensure intake coverage and continuity.
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