Infusion Prior Authorization Coordinator

Job Summary

A company is looking for an Infusion Prior Authorization Coordinator.

Key Responsibilities

• Manage prior authorization requests for infusion therapies, ensuring compliance with payer requirements
• Collaborate with clinical teams and insurance providers to expedite approval processes and maintain detailed records
• Identify denial patterns and develop strategies to improve approval rates while providing updates to clinical teams and members

Required Qualifications

• Bachelor's degree preferred or equivalent combination of education and relevant experience
• Minimum 2-3 years of experience in prior authorization, utilization management, or pharmacy benefits coordination
• 3+ years of experience in a clinical setting highly preferred
• Strong background in infusion therapies and specialty medications
• Proficient knowledge of insurance processes and clinical documentation requirements