Prior Authorization Coordinator
I
IVX HealthInfusion and Injection Therapy
Remote - USFull-TimeMiddle
Salary22 - 24 USD per hour
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Job Details
- Experience
- Minimum of three (3) years of experience
- Required Skills
- Microsoft OfficeEHR
Requirements
- Minimum of three (3) years of experience in hospital or clinical service access, physician office scheduling, or a similar role.
- Hands-on experience with prior authorizations for biologics, oncology, or specialty therapies.
- Strong understanding of payer guidelines.
- Proficiency in Electronic Health Records (EHR) systems and payer portals.
- Proficiency in Microsoft Office Suite.
- High School Diploma or GED required.
- Excellent communication skills and ability to perform follow-ups.
- Ability to work independently in a remote environment.
Responsibilities
- Review and process Prior Authorization orders for timely completion.
- Assess clinical information including medical history, diagnosis, and lab reports for submissions.
- Submit and track authorization requests according to payer criteria.
- Investigate and resolve documentation issues and denied claims.
- Communicate effectively with patients, clinical staff, and insurance representatives.
- Stay up to date with evolving payer policies and identify workflow improvements.
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