Insurance Coordinator - Part-Time

Why should you join our success story? Based on patented technology developed at MIT, Harvard Medical School and by the Company, Myomo develops and markets the MyoPro® product line of lightweight, non-invasive, powered arm braces (orthoses) to restore function in paralyzed or weakened arms and hands of individuals that have suffered a stroke, spinal cord, or nerve injury. (E.g. brachial plexus injury or other neuro-muscular disabilities.) It is the only device that, sensing a patient’s own neurological signals through non-invasive wearable sensors, can restore the ability to use their arms and hands so that they can live independently, increase their quality of life, reduce cost of care, and return to work. Published clinical research shows a clinically significant instantaneous reduction in upper extremity impairment with the MyoPro. Our technology has been referred by leading-edge rehabilitation facilities including Mayo Clinic, Kennedy Krieger Institute, Cleveland Clinic, Loma Linda Medical Center, Massachusetts General Hospital, numerous VA Hospitals, and more. Myomo is headquartered in Burlington, Massachusetts, with sales and clinical professionals across the U.S. What we’re looking for: The Insurance Coordinator maintain responsibility for verifying patient insurance as well as submitting and following up on all pre-authorization and appeals requests to payers. The Insurance Coordinator also assists with other duties as assigned. Keys to success include proactive, detailed communication and attention to detail as well as the ability to collect, organize, and track necessary documentation. How You'll Drive Impact: Submit prior authorization (PA) requests and appeals to insurance payers, ensuring timely and accurate processing. Maintain responsibility for timely follow-up on filed PA requests and appeals with insurance companies via telephone, writing, or the payer website to obtain decision letters regarding authorizations or denials. Review approval and denial letters, determining appropriate next steps and strategies. Verify patient insurance coverage as needed, ensuring proper processing and accurately determining patients’ primary insurance. Liaise and coordinate with patients, providing updates on insurance matters and gathering necessary information as needed. Accurately calculate out-of-pocket cost for patients who have received authorization. Determine and obtain Single Case Agreement for patients who have received authorization, following up with insurance companies to obtain if necessary. Obtain HMO referrals from provider offices. Document all activities as needed in various reports, ensuring prompt, accurate, and complete notes in the CRM system. Manage a balanced caseload to effectively meet organizational goals. Collaborate regularly with cross-functional teams, ensuring seamless communication and alignment. What You'll Bring: 4+ years’ experience within a medical office setting. High School Diploma or GED. Knowledge of various insurance plans and HIPAA. Excellent customer service skills, professionalism over the phone, and warm efficiency. Experience in a high-volume environment. Strong written and verbal communication skills. Self-motivated with the ability to adapt to new situations, prioritize work appropriately, and solve problems effectively. Basic comprehension of computer programs, including Microsoft Excel, Word, and PowerPoint.