Prior Authorization Coordinator

🕒 July 29

🇺🇸 United States – Remote

💵 $22 - $24 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 19%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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IVX Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

🏥 Healthcare

💊 Pharmaceuticals

👥 B2C

Healthcare • Pharmaceuticals • B2C

IVX Health is a national network of outpatient infusion centers that provides biologic infusion and injection therapies for patients with complex chronic conditions such as Crohn’s disease, multiple sclerosis, rheumatoid arthritis, psoriasis, lupus, and severe asthma. The company emphasizes patient comfort and convenience with private suites, flexible scheduling including evenings and weekends, in-network insurance options, and high-quality care delivered by ARNPs, RNs, and medical directors across multiple U. S. locations.

📋 Description

• Review Prior Authorization orders and ensure timely and accurate completion • Obtain and assess clinical information, including medical history, diagnosis, and lab reports • Submit and track authorization requests with insurance providers according to medication approval criteria • Investigate and resolve medical documentation concerns and assist with denied claims • Communicate with patients, clinical staff, and insurance representatives about the Prior Authorization process • Stay current with payer policies and identify workflow efficiency improvements • Perform additional duties supporting patient care and operational objectives

🎯 Requirements

• Hands-on experience with prior authorizations for biologics, oncology, or specialty therapies • Strong understanding of payer guidelines • Clear, professional communication with clinical teams, insurance companies, and patients • Self-motivated, accountable, and able to work independently without direct supervision when remote • Proficiency in Electronic Health Records (EHR) systems, payer portals, and Microsoft Office Suite • High School Diploma or GED required • Minimum of three (3) years of experience in hospital or clinical service access, physician office scheduling, or a similar role • Associate’s degree in Medical Office Management, Medical Insurance, or Medical Coding is a plus • Certified Medical Assistant (CMA) is a plus • Experience with prior authorizations for biologics, oncology, or specialty therapies preferred

🏖️ Benefits

• 401(k), health benefits, and other company-provided benefits • Medical, Dental, and Vision Coverage • Prescription Drug Coverage and Telemedicine Services • Health Savings Account (HSA), Health Reimbursement Arrangement (HRA), and Flexible Spending Options • 401(k) Retirement Plan with Company Match • Life, AD&D, and Disability Insurance • Accident, Critical Illness, and Hospital Indemnity Coverage • Fertility and Family Planning Support • Tuition Reimbursement and Certification Assistance • Continuing Education and Professional Development Resources • Employee Assistance Program and Wellness Support • Paid Time Off • Volunteer Time Off and Charitable Giving Match • Employee Referral Bonus Program • Fully Remote, Hybrid, or In-office work options • Monday-Friday standard business hours with no nights, weekends, or holidays • Career path and opportunities for promotion from Level 1 to Level 2 and Level 3 • Mentorship opportunities