Cgm – Coordinator

Cgm – Coordinator

Requirements

• High School Diploma or equivalent required.
• At least 1 yr of healthcare industry and/or sales experience preferred.
• Basic proficiency in MS Office.
• Excellent communication skills (written and verbal).
• Proven ability to manage duties with significant telephone and computer utilization.
• Good telephone customer service skills.

Responsibilities

• Reviews all new referrals to Byram Healthcare for CGM, Insulin pumps and related diabetic testing and equipment supplies.
• Verifies relevant demographics, insurance information, and products with patients.
• Manages assigned patients through medical records retrieval requests, prior authorization submissions, and shipments processes.
• Ensures patients meet all insurance criteria for specific CGM and insulin pumps being ordered.
• Completes benefits verification and eligibility checks with insurance plan providers.
• Accurately selects correct product and catalog codes, and billing and insurance information.
• Charts all calls and notes in the patient’s record, thoroughly documenting performed activities in internal records systems as part of onboarding process.
• Maintains consistent communication with manufacturer partners on relevant intake and equipment issues.
• Submits relevant and authorized patient requests and information to provider offices to initiate service.
• Provides outstanding customer service to patients throughout the new intake process.

Preferred Qualifications

• Knowledge of specialized diabetic-related medical terminology a plus.
• Basic knowledge of payer/insurance authorization processing and adjudication a plus.