Prior Authorization Coordinator
Join IVX Health as a Prior Authorization Coordinator!
Join a team thatβs 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, youβll 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
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Work Options : Fully Remote, Hybrid, or In-office (Brentwood, TN)
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Schedule : Monday - Friday, standard business hours (no nights, weekends, or holidays)
What You Will Do
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Review and Process Prior Authorizations β Thoroughly review Prior Authorization orders and ensure timely and accurate completion.
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Manage Clinical Documentation β Obtain and assess necessary clinical information such as medical history, diagnosis, and lab reports to support Prior Authorization submissions.
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Submit and Track Prior Authorizations β Follow criteria for medication approvals and accurately submit requests to insurance providers.
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Resolve Authorization Issues β Investigate and resolve outstanding medical documentation concerns and assist in resolving denied claims.
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Support Patients and Providers β Communicate effectively with patients, clinical staff, and insurance representatives regarding the Prior Authorization process.
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Ensure Compliance and Process Improvement β Stay up to date with evolving payer policies and identify ways to enhance workflow efficiency.
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Perform Additional Duties β 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. Success in this role requires initiative, accountability, and a commitment to getting the job done.
If you thrive in a structured yet independent work environment, communicate effectively, and hold yourself accountable, you will excel here. We value high performers who are dependable, communicative, and committed to delivering results.
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Prior Authorization Expertise is Essential β You must have hands-on experience with prior authorizations for biologics, oncology, or specialty therapies, along with a strong understanding of payer guidelines.
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Exceptional Communication Skills β This role involves frequent interaction with clinical teams, insurance companies, and patients. You must be able to communicate clearly, professionally, and persistently follow up when needed.
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Self-Motivated and Accountable β If you work remotely, you are expected to be present, engaged, and consistently perform at a high level without direct supervision.
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Tech-Savvy and Detail-Oriented β Proficiency in Electronic Health Records (EHR) systems, payer portals, and Microsoft Office Suite is required.
- High School Diploma or GED required.
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Associateβs degree in Medical Office Management, Medical Insurance, or Medical Coding is a plus.
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Minimum of three (3) years of experience in hospital or clinical service access, physician office scheduling, or a similar role.
- Certified Medical Assistant (CMA) is a plus.
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Experience with prior authorizations for biologics, oncology, or specialty therapies preferred.
Why Join IVX Health
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Make a Meaningful Impact β Play a critical role in securing approvals for life-changing specialty treatments that directly improve patients' lives.
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Grow Your Career β IVX Health offers a clear career path for Prior Authorization Coordinators, with opportunities for promotion from Level 1 to Level 2 and Level 3