Prior Authorization Coordinator

Job Summary

To support a Specialty Infusion Pharmacy, the full-time Prior Authorization Coordinator will manage prior authorizations, verify insurance coverage, and provide exceptional customer service while working remotely.

Key responsibilities

• Verify insurance benefit information and maintain prior authorization reports
• Secure prior authorizations and coordinate with prescriber's offices for necessary information
• Document insurance coverage and communicate financial responsibilities to patients

Required qualifications

• At least 2 years of prior authorization experience required
• Specialty home infusion experience required
• High school diploma or equivalent required
• Previous medical and pharmacy benefit experience is required
• Ability to interpret payor contract fee schedules based on NDC and HCPCS units