Prior Authorization Coordinator

Job Summary

A company is looking for a Prior Authorization Coordinator to support its Specialty Infusion Pharmacy remotely.

Key Responsibilities

• Maintain prior authorizations, copay assistance, and verify insurance coverage for ongoing services
• Generate prior authorization expiration reports and document insurance coverage for medications and related services
• Provide exceptional customer service and communicate with patients and prescriber's offices regarding authorization processes

Required Qualifications

• High school diploma or equivalent required
• At least 2 years of healthcare intake/admissions and/or reimbursement experience
• Previous medical and pharmacy benefit experience is required
• Ability to interpret payor contract fee schedules based on NDC and HCPCS units
• Basic level skill in Microsoft Excel and Word