[Hiring] Toxin Coordinator @Nira Medical

Role Description

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
• Ensuring timely processing of Toxin appointments for an assigned physician's office

Qualifications

• Experience in healthcare administration or a related field
• Knowledge of insurance processes and medical terminology
• Strong communication skills
• Ability to manage multiple tasks efficiently

Requirements

• Perform intake duties for toxin orders including reviewing orders and adding patients to patient tracker
• Obtain clinical requirements and communicate with prescribers regarding required clinical documentation
• Verify and document insurance eligibility, benefits, and coverage for all toxin services
• Obtain insurance authorization and pre-certification for toxin services
• Facilitate insurance denial mitigation steps such as peer-to-peer reviews and appeals
• Maintain a good working knowledge of toxin drug authorization requirements for all payers
• 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