Authorization Coordinator

Aspen Infusion • Chandler, AZ

1d

About The Position

Review home infusion orders and the associated medical documentation to ensure accuracy before submitting authorization requests. Perform the necessary authorization submissions for initial referrals, modifications to orders, insurance changes, and ongoing long-term therapies. Ensure that all completed tasks are documented clearly and accurately.

Requirements

• High school diploma or general education degree (GED)
• Minimum of 1 year of related experience in medical insurance authorization and/or training
• Proficiency in basic math skills is required for this position
• Computer skills required: Google software (Docs; Drive; Sheets)

Nice To Haves

• Experience in home infusion pharmacy preferred, not required

Responsibilities

• Report any misconduct, suspicious, or unethical activities to the Compliance Officer
• Verify insurance eligibility and benefits
• Obtain referrals and complete required notifications and payor forms
• Submit pharmacy and medical insurance pre-authorizations via fax, payer portal, or telephone
• Process authorization requests for: New referrals, Order changes, Insurance updates, Ongoing long-term therapies
• Coordinate with internal teams, providers, and external customers to obtain additional information for authorization requests
• Track and follow up on all appeal and authorization submissions according to departmental policy and insurance payer requirements
• Communicate approvals, denials, appeal options, and ongoing status to pharmacy staff, billing, healthcare team, customers, and supervisors
• Review home infusion orders and medical documentation for accuracy
• Handle incoming and outgoing calls related to the authorization/appeal process
• Collaborate with providers and internal teams to address denials or gather alternative documentation
• Report recurring payer issues, trends, or changes to the supervisor
• Cross-train within the department to ensure smooth workflow and coverage
• Ensure all tasks are performed accurately, efficiently, and within required timeframes to meet departmental and insurance guidelines
• Maintain HIPAA compliance and participate in ongoing training as required
• Understand and comply with all applicable company policies and procedures
• Perform other duties as directed by management

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED