Clinical Review Coordinator
A company is looking for a Clinical Review Coordinator to support patient needs through clinical review processes. Key Responsibilities Conducts timely prior authorization reviews to evaluate medical necessity based on clinical criteria Reviews patient documentation and requests additional information to support clinical decisions Assists in creating clinical support packets and documents appeals for authorization denials Required Qualifications Bachelor's degree in a healthcare field or 3 years of relevant experience Preferred experience with specialty infusion needs and challenges Competent in Microsoft Word, Excel, and PowerPoint Experience with denial support, clinical reviews, and appeals Ability to work effectively under stress and manage time efficiently
A company is looking for a Clinical Review Coordinator to support patient needs through clinical review processes.
Key Responsibilities
Conducts timely prior authorization reviews to evaluate medical necessity based on clinical criteria
Reviews patient documentation and requests additional information to support clinical decisions
Assists in creating clinical support packets and documents appeals for authorization denials
Required Qualifications
Bachelor's degree in a healthcare field or 3 years of relevant experience
Preferred experience with specialty infusion needs and challenges
Competent in Microsoft Word, Excel, and PowerPoint
Experience with denial support, clinical reviews, and appeals
Ability to work effectively under stress and manage time efficiently
