Toxin Coordinator

Job 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, 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.