Toxin Coordinator at Nira Medical (Remote)

The Toxin coordinator is responsible for managing end-to-end order processing for Toxin services, including order intake, chart review, verifying insurance coverage and eligibility, submitting pre-authorizations, financial assistance support, drug ordering, patient scheduling, and ensuring timely processing of Toxin appointments for an assigned physician's office. Key Responsibilities * Perform intake duties for toxin orders including reviewing orders and adding patients to patient tracker, obtaining clinical requirements, and communicating with prescribers regarding required clinical documentation. * Verify and document insurance eligibility, benefits, and coverage for all toxin services. * Obtains insurance authorization and pre-certification for toxin services. * Facilitate insurance denial mitigation steps such as peer-to-peer reviews and appeals. * Maintains a good working knowledge of toxin drug authorization requirements for all payers, state and federal regulatory guidelines for coverage and authorization. * Calculate and communicate patient financial responsibility. * Provide financial assistance support to patients including identifying patient assistance programs and manufacturer copay assistance enrollment. * Communicate with patients and providers regarding the status of toxin order. * Schedule patient appointments for toxin services. * Coordinate drug orders prior to toxin appointments, including both office stock and specialty pharmacy procurement. * Document office stock and sample vials used in inventory log. * Update and maintain toxin patient tracker.

Toxin Coordinator

Similar jobs

Explore related jobs