UW Health Care Direct

Representative

• Obtain initial and renewal authorizations
• Perform insurance verification and follow-up
• Monitor patient insurance coverage compliance
• Act as communication liaison between team members, third-party payers, patients, and billing
• Obtain convert-to-purchase authorizations
• Follow up on rental compliance, convert-to-purchase, and renewal prescriptions
• Communicate with patients by phone and letters about compliance and financial responsibility
• Answer questions about insurance coverage of services
• Check insurance eligibility and verify qualifications for insurance changes
• Monitor and forward payer-requested documentation for reimbursement
• Review monthly Brightree reports for insurance changes and Medicare eligibility
• Stay familiar with legislation affecting service delivery and billing
• Review and complete WIPS and assigned tasks
• Attend workshops, meetings, and seminars regarding legislative, regulatory, and industry changes
• Provide peer-review input on selected employee performance reviews
• Follow infection-control and safety procedures
• Report errors or near misses through the occurrence reporting system
• Obtain and maintain federally required documents
• Perform other duties as assigned

Authorization Representative