Prior Authorization & Scheduling Coordinator - Twin Cities Orthopedics Rheumatology

Revo Health • Hudson, WI

6d • Onsite

About The Position

The Clinical Care Coordinator supports patients and providers through patient care and administrative responsibilities in the Rheumatology department at Twin Cities Orthopedics, an operating division of Infinite Health Collaborative (i-Health). The role focuses on prior authorizations and infusion scheduling, working in person three days a week at Hudson and two days a week at Woodbury. The full-time schedule is Monday through Friday, 8:00 AM to 4:00 PM.

The coordinator manages prior authorizations and scheduling for rheumatology and infusion patients; communicates and serves as a liaison between providers and patients; obtains benefit, referral, and authorization requirements under insurance guidelines; and follows up on patient inquiries with providers or insurance companies as needed. The position maintains knowledge of health care plan requirements and networks and collaborates with providers, clinical staff, and insurers to support efficient workflow and patient care. Other duties may be assigned.

The role requires compliance with company policies and applicable laws and regulations, reliable attendance, effective workload prioritization, professional communication, and the ability to work efficiently, manage interruptions, meet deadlines, and reason through problems. The employer is an Equal Opportunity Employer and may provide reasonable accommodations to enable individuals with disabilities to perform essential job functions.

Requirements

• High school diploma, GED, or equivalent.
• Two years of prior authorization experience.
• Knowledge of medical terminology is strongly preferred.
• Strong understanding of prior authorization processes and infusion scheduling.
• Excellent communication, organizational, and problem-solving skills.
• Ability to work independently and as part of a collaborative team.
• Customer service experience.
• Ability to frequently lift up to 50 pounds independently and occasionally up to 100 pounds with assistance.
• Ability to stand, walk, bend, and move continuously throughout the shift, and frequently push, pull, and reach.
• Visual acuity to read electronic and paper documents; auditory ability to participate clearly in phone or video calls; and manual dexterity to operate standard office equipment.

Nice To Haves

• Medical terminology knowledge.

Responsibilities

• Manage prior authorizations and scheduling for rheumatology and infusion patients.
• Provide communication and liaison between providers and patients.
• Obtain benefit, referral, and authorization requirements according to insurance guidelines.
• Follow up on patient inquiries, contacting providers and/or insurance companies as necessary.
• Maintain working knowledge of health care plan requirements and health plan networks.
• Collaborate with providers, clinical staff, and insurance companies to ensure efficient workflow and patient care.
• Perform other duties as assigned.
• Comply with company policies, procedures, practices, business ethics guidelines, and applicable laws and regulations.
• Maintain prompt and reliable attendance, prioritize workload, work efficiently, handle interruptions, and meet deadlines.
• Communicate respectfully and professionally in face-to-face, phone, and email interactions.

Benefits

• Eligible employees working 30 or more hours per week (60 hours per pay period) may enroll in Medical (with Maternity Bundle), Dental, and Vision plans.
• Tuition reimbursement for employees working 30 or more hours per week (60 hours per pay period).
• 401(k) Profit Sharing for all employees, regardless of hours.
• Employee Assistance Program for all employees, regardless of hours.
• Lifetime Fitness Subsidy for all employees, regardless of hours.
• Car rental discounts for all employees, regardless of hours.
• Home, auto, and pet insurance savings programs for all employees, regardless of hours.

What This Job Offers

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