Infusion Prior Authorization Coordinator

A company is looking for an Infusion Prior Authorization Coordinator. Key Responsibilities Manage prior authorization requests for infusion therapies, ensuring compliance with payer requirements Collaborate with clinical teams and insurance providers to expedite approval processes and maintain detailed records Identify denial patterns and develop strategies to improve approval rates while providing updates to clinical teams and members Required Qualifications Bachelor's degree preferred or equivalent combination of education and relevant experience Minimum 2-3 years of experience in prior authorization, utilization management, or pharmacy benefits coordination 3+ years of experience in a clinical setting highly preferred Strong background in infusion therapies and specialty medications Proficient knowledge of insurance processes and clinical documentation requirements

Jun 18, 2025 - 21:00

A company is looking for an Infusion Prior Authorization Coordinator. Key Responsibilities Manage prior authorization requests for infusion therapies, ensuring compliance with payer requirements Collaborate with clinical teams and insurance providers to expedite approval processes and maintain detailed records Identify denial patterns and develop strategies to improve approval rates while providing updates to clinical teams and members Required Qualifications Bachelor's degree preferred or equivalent combination of education and relevant experience Minimum 2-3 years of experience in prior authorization, utilization management, or pharmacy benefits coordination 3+ years of experience in a clinical setting highly preferred Strong background in infusion therapies and specialty medications Proficient knowledge of insurance processes and clinical documentation requirements