Prior Authorization Coordinator
About the role
Join IVX Health as a Prior Authorization Coordinator!
Join a team that's redefining infusion care and creating exceptional patient experiences. Are you experienced in navigating the complexities of prior authorizations for biologics or oncology therapies? IVX Health is looking for a driven and detail-oriented Prior Authorization Coordinator to support our rapidly growing team. In this role, you'll have the opportunity to make a meaningful impact by facilitating the approval process for life-changing specialty treatments. Our HQ is based just outside of Nashville in Brentwood, TN, but we are seeking candidates nationwide with the option to work fully remote, hybrid, or in-office!
Location and Schedule at a Glance
- Work Options: Fully Remote, Hybrid, or In-office (Brentwood, TN)
- Schedule: Monday - Friday, standard business hours (no nights, weekends, or holidays)
What You Will Do
- Review and Process Prior Authorizations – Thoroughly review Prior Authorization orders and ensure timely and accurate completion.
- Manage Clinical Documentation – Obtain and assess necessary clinical information such as medical history, diagnosis, and lab reports to support Prior Authorization submissions.
- Submit and Track Prior Authorizations – Follow criteria for medication approvals and accurately submit requests to insurance providers.
- Resolve Authorization Issues – Investigate and resolve outstanding medical documentation concerns and assist in resolving denied claims.
- Support Patients and Providers – Communicate effectively with patients, clinical staff, and insurance representatives regarding the Prior Authorization process.
- Ensure Compliance and Process Improvement – Stay up to date with evolving payer policies and identify ways to enhance workflow efficiency.
- Perform Additional Duties – Take on other responsibilities as assigned to support patient care and operational objectives.
What We Are Looking For
We are seeking ambitious, self-motivated, and reliable professionals who take ownership of their work and excel in both remote and office settings.