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
Responsibilities
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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.
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Verify and document insurance eligibility, benefits, and coverage for all toxin services.
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Obtains insurance authorization and pre-certification for toxin services.
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Facilitate insurance denial mitigation steps such as peer-to-peer reviews and appeals.
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Maintains a good working knowledge of toxin drug authorization requirements for all payers, state and federal regulatory guidelines for coverage and authorization.
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Calculate and communicate patient financial responsibility.
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Provide financial assistance support to patients including identifying patient assistance programs and manufacturer copay assistance enrollment.
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Communicate with patients and providers regarding the status of toxin order.
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Schedule patient appointments for toxin services.
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Coordinate drug orders prior to toxin appointments, including both office stock and specialty pharmacy procurement.
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Document office stock and sample vials used in inventory log.