Prior Authorization Injectable Coordinator

LSMA Management Inc • San Bernardino, CA

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About The Position

The Prior Authorization Injectable Coordinator is responsible for supporting the Utilization Management (UM) process by completing non-clinical prior authorization and injectable medication requests. This role ensures accurate data entry, verification of eligibility and benefits, timely follow-up, and effective communication with internal clinic staff, providers, and pharmacies, while maintaining compliance with NCQA standards, UM policies, and HIPAA regulations.

Requirements

• High school diploma or equivalent.
• Demonstrated administrative or office experience.
• Strong service-oriented attitude with consistent professionalism and courtesy
• Ability to read, comprehend, and follow written and verbal instructions
• Effective written and verbal communication skills
• Ability to manage multiple priorities and meet productivity and accuracy standards
• Sound judgment when handling confidential and protected health information
• Working knowledge of Microsoft Word and Excel
• Familiarity with standard office equipment (phones, fax machines, copiers)
• Willingness and ability to learn new systems and software

Nice To Haves

• Medical terminology training or healthcare-related coursework.
• 1+ years of experience in healthcare, medical management, or utilization review-related experience.

What This Job Offers

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