Prior Authorization Coordinator

Job Summary

To support a Specialty Infusion Pharmacy, the full-time Prior Authorization Coordinator will manage prior authorizations, copay assistance, and insurance verification while working remotely during standard business hours.

Key responsibilities

• Verify insurance benefits and maintain up-to-date prior authorization reports
• Secure prior authorizations and coordinate with prescribers for necessary information
• Provide exceptional customer service and communicate financial responsibilities to patients

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 proficiency in Microsoft Excel and Word