American Medical Response
Transport Authorization Department (TAD) Specialist
Job Title: TAD Specialist
Reports To: POD Supervisor
Department: Revenue Cycle Optimization
Location: Worcester, MA
FLSA Status: Non-exempt
The Transport Authorization Department (TAD) Specialist is responsible for authorization management of non-emergency transports. TAD Specialists work with Communications, Operations, payors, and billing to ensure appropriate paperwork is obtained before or around the time of the patient’s transport
Essential Duties and Responsibilities:
- Work with Communications to provide guidance on non-emergency transports and required paperwork and/or authorizations.
- Review non-emergency transports to identify appropriate payor and determine if an authorization is required.
- Follow established processes to request and/or obtain authorizations for non-emergency transports.
- Work with Communications to ensure adequate and appropriate levels of service are dispatched for non-emergency transports.
- Manage Authorization work bin to ensure payor requirements are met.
- Process customer complaints quickly by receiving, investigating, redirecting or, resolving the issue.
- Convey an attitude of intolerance for unprofessional behavior.
- Develop and sustain excellent working relationships with AMR professionals (e.g., Operations, Business Development, IT and Finance), as well as with the Company’s clients, payors, consultants, banks and financial intermediaries and government agencies.
- Adhere to all company policies and procedures.
- Adhere to and comply with information systems security. Know and follow Information Systems security policies and procedures, attend Information Systems security training, and report information systems security problems if identified.
- Complete other duties as assigned
Non-Essential Duties and Responsibilities:
- Communicate a willingness to help others succeed.
- Demonstrate and promote a spirit of teamwork and cooperation.
- Convey and inspire a sense of competence and commitment.
- Use initiative to learn new skills, enhance personal knowledge and improve communications.
- Demonstrate an ability to communicate and work well with others (e.g., customers, facilities, AMR Operations, and payors).
- Seek opportunities to improve the work environment.
- Perform other duties as assigned.
- Education/Licensing/Certification: High School diploma or GED required; EMT certification/licensure or medical experience preferred.
- Experience: Work with computer programs and software preferred; work with general public preferred; experience in medical industry preferred.
Knowledge and Skills:
- General knowledge of medical and insurance industry terminology preferred.
- Knowledge of Medicare and Medicaid guidelines related to ambulance billing preferred.
- Knowledge of HIPAA, Sarbanes-Oxley and other critical governmental regulations within one (1) month of hire date.
- Maintain working knowledge of various tools including but not limited to basic Microsoft Office software, QWERTY keyboard use, basic computer function required.
- Communicate clearly in English, both verbally and in writing, to convey information distinctly and concisely. Use appropriate grammar and punctuation in written documents.