Prior Authorization Coordinator

Job Summary

To support a growing practice, the full-time Prior Authorization Coordinator will manage the prior authorization process for specialty medications and biologics, collaborating with healthcare providers and ensuring compliance with regulatory standards while working remotely during standard Eastern Time business hours.

Key responsibilities

• Collaborate with the biologic/specialty medication specialist nurse to streamline authorization processes
• Communicate with providers, nurses, and patients to track and manage specialty medication and biologic needs
• Collect and submit necessary documentation for timely prior authorizations and appeals

Required qualifications

• High School Diploma or equivalent
• 1-3 years of related experience in Biologics/Prior Authorizations
• Knowledge of medical terminology
• Familiarity with EMR systems
• Proficiency in Microsoft Office Suite, including Excel and Outlook