Prior Authorization Coordinator
About The Position
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!
Requirements
- Prior Authorization Expertise is Essential – You must have hands-on experience with prior authorizations for biologics, oncology, or specialty therapies, along with a strong understanding of payer guidelines.
- Exceptional Communication Skills – 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.
- Self-Motivated and Accountable – If you work remotely, you are expected to be present, engaged, and consistently perform at a high level without direct supervision.
- Tech-Savvy and Detail-Oriented – Proficiency in Electronic Health Records (EHR) systems, payer portals, and Microsoft Office Suite is required.
- 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.
Nice To Haves
- 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.
Responsibilities
- 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.
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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
