Prior Authorization Coordinator

Job Summary

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

Key Responsibilities

• Maintain prior authorizations, copay assistance, and verify insurance coverage for ongoing services
• Generate prior authorization expiration reports and review clinical documents for submissions
• Provide exceptional customer service and document insurance coverage and prior authorization requirements

Required Qualifications

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