Authorization Representative - Diabetes

Aeroflow Health Authorization Representative - Diabetes/CGM - Fully Remote Opportunity

Aeroflow Health is taking the home health products and equipment industry by storm. We have created a better way of doing business that prioritizes our customers our community and our coworkers. Aeroflow believes in career building. That is why we promote from within and reward individuals who have invested their time and talent in us. Whether you are looking for a place from which to launch your career - or a stable ethical company in which to advance you will not find an organization better equipped to help you meet your professional goals than Aeroflow Health.

The Opportunity

Within Aeroflow there are 4 main divisions: Urology Diabetes Mom & Baby & Sleep. Each division specializes in a specific set of medical supplies aimed to treat a medical diagnosis or the symptoms of that diagnosis.

• Aeroflow Diabetes focuses on CGM brands such as Libre & Dexcom.
• Supplies are shipped directly to more than 10000 patients a month across the nation who have medical insurance and a diabetes diagnosis
• The CGM Billing team applies for authorizations through a wide variety of commercial Medicare and Medicaid policies

Your Primary Responsibilities

We are currently seeking a CGM Authorization Representative.

The duties and responsibilities for this role include:

• Submit authorizations for commercial Medicare and Medicaid policies
• Following up on submitted authorizations for status
• Research insurance payer requirements
• Solving problems and finding innovative solutions
• Ability to prioritize multiple responsibilities
• Making and receiving calls with a professional demeanor
• Flexible and adaptable
• Comfort with technology
• Monitor reports to identify trends concerns and/or areas of improvement
• Discuss findings with the potential of reporting up to management
• Employee has an individual responsibility for knowledge of and compliance with laws regulations and policies.
• Compliance is a condition of employment and is considered an element of job performance.
• Maintain HIPAA/patient confidentiality
• Performs other duties as required

Required Qualifications:

• 2 years recent work history

Desired Qualifications:

• Bachelors degree from accredited university (any field)
• Prior work experience in healthcare or health insurance

What we look for

We are looking for a highly motivated talented individual with the following qualities:

• Detail oriented & critical thinker
• Excellent customer service skills
• High level of organization
• Strong decision maker
• Strong communicator
• Flexible and adaptable
• Empathetic compassionate inclusive

What to expect in the first 30 60 days:

• First 30 days you will be training on:
  • 4 major internal programs
  • Basic & complex strategies for resolving a insurance claim denial
  • Key metrics & KPIs
  • Compliance rules & regulations
  • Training is a combination of modules one on one with supervisors and billers
• After 30-45 days you will be responsible for working an assigned authorization report independently answering phone calls independently as well as the attending and contributing to the following meetings:
  • Frequent one on one prioritization and Q&A sessions with supervisor
  • Weekly all team meetings with all CGM Billing Team members
  • Bi-monthly meetings with relevant support teams as needed
• Expect about 25% of your time to be spent collaborating; 75% of time to be spent working independently

Starting pay rate of $20 an hour

What Aeroflow Offers

Competitive Pay Health Plans with FSA or HSA options Dental and Vision Insurance Optional Life Insurance 401K with Company Match 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s) Additional Parental benefits to include fertility stipends free diapers breast pump Paid Holidays PTO Accrual from day one Employee Assistance Programs and SO MUCH MORE!!

Here at Aeroflow we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:

• Family Forward Certified
• Great Place to Work Certified
• 5000 Best Place to Work award winner
• HME Excellence Award
• Sky High Growth Award

If youve been looking for an opportunity that will allow you to make an impact and an organization with unlimited growth potential we want to hear from you!

Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race color sex religion sexual orientation national origin disability genetic information pregnancy or any other protected characteristic as outlined by federal state or local laws.

Required Experience:

Unclear Seniority