PRIOR AUTHORIZATION COORDINATOR

Ivxhealth

mid

Job description

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! <hr> Location and Schedule at a Glance <ul> <li style="font-family: helvetica, arial, sans-serif;">Work Options: Fully Remote, Hybrid, or In-office (Brentwood, TN)</li> <li style="font-family: helvetica, arial, sans-serif;">Schedule: Monday - Friday, standard business hours (no nights, weekends, or holidays)</li> </ul> <hr> What You Will Do <ul> <li style="font-family: helvetica, arial, sans-serif;">Review and Process Prior Authorizations – Thoroughly review Prior Authorization orders and ensure timely and accurate completion.</li> <li style="font-family: helvetica, arial, sans-serif;">Manage Clinical Documentation – Obtain and assess necessary clinical information such as medical history, diagnosis, and lab reports to support Prior Authorization submissions.</li> <li style="font-family: helvetica, arial, sans-serif;">Submit and Track Prior Authorizations – Follow criteria for medication approvals and accurately submit requests to insurance providers.</li> <li style="font-family: helvetica, arial, sans-serif;">Resolve Authorization Issues – Investigate and resolve outstanding medical documentation concerns and assist in resolving denied claims.</li> <li style="font-family: helvetica, arial, sans-serif;">Support Patients and Providers – Communicate effectively with patients, clinical staff, and insurance representatives regarding the Prior Authorization process.</li> <li style="font-family: helvetica, arial, sans-serif;">Ensure Compliance and Process Improvement – Stay up to date with evolving payer policies and identify ways to enhance workflow efficiency.</li> <li style="font-family: helvetica, arial, sans-serif;">Perform Additional Duties – Take on other responsibilities as assigned to support patient care and operational objectives.</li> </ul> <hr> What We Are Looking For We are seeking ambitious, self-motivated, and reliable professionals who take ownership of their work and excel in both remote and office settings. Success in this role requires initiative, accountability, and a commitment to getting the job done. If you thrive in a structured yet independent work environment, communicate effectively, and hold yourself accountable, you will excel here. We value high performers who are dependable, communicative, and committed to delivering results. <ul> <li style="font-family: helvetica, arial, sans-serif;">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.</li> <li style="font-family: helvetica, arial, sans-serif;">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.</li> <li style="font-family: helvetica, arial, sans-serif;">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.</li> <li style="font-family: helvetica, arial, sans-serif;">Tech-Savvy and Detail-Oriented – Proficiency in Electronic Health Records (EHR) systems, payer portals, and Microsoft Office Suite is required.</li> <li style="font-family: helvetica, arial, sans-serif;">High School Diploma or GED required.</li> <li style="font-family: helvetica, arial, sans-serif;">Associate’s degree in Medical Office Management, Medical Insurance, or Medical Coding is a plus.</li> <li style="font-family: helvetica, arial, sans-serif;">Minimum of three (3) years of experience in hospital or clinical service access, physician office scheduling, or a similar role.</li> <li style="font-family: helvetica, arial, sans-serif;">Certified Medical Assistant (CMA) is a plus.</li> <li style="font-family: helvetica, arial, sans-serif;">Experience with prior authorizations for biologics, oncology, or specialty therapies preferred.</li> </ul> <hr> Why Join IVX Health <ul> <li style="font-family: helvetica, arial, sans-serif;">Make a Meaningful Impact – Play a critical role in securing approvals for life-changing specialty treatments that directly improve patients' lives.</li> <li style="font-family: helvetica, arial, sans-serif;">Grow Your Career – IVX Health offers a clear career path for Prior Authorization Coordinators, with opportunities for promotion from Level 1 to Level 2 and Level 3 based on performance and expertise..</li> <li style="font-family: helvetica, arial, sans-serif;">Be Part of a Supportive and High-Performing Team – Work alongside a motivated, goal-driven team that values accountability, integrity, and results while fostering a positive, patient-focused environment.</li> <li style="font-family: helvetica, arial, sans-serif;">Support and Development – Gain access to continuing education, professional development resources, and mentorship opportunities to expand your expertise.</li> <li style="font-family: helvetica, arial, sans-serif;">Work-Life Balance – Enjoy flexible work options (remote, hybrid, or in-office), paid time off, and a no nights, no weekends schedule so you can recharge and perform at your best.</li> </ul> <div class="content-pay-transparency"><div class="pay-input"><div class="description">Pay is based on factors such as market location, job-related knowledge, skills, and experience, and is benchmarked against similar organizations in our size and industry. It is not typical for an individual to be hired at or near the top of the posted range, as compensation decisions depend on the facts and circumstances of each case. In addition to cash pay, full-time regular employees are eligible for 401(k), health benefits, and other company-provided benefits. </div><div class="title">Prior Authorization Coordinator Pay Range</div><div class="pay-range">$22-$24 USD</div></div></div><div class="content-conclusion">About IVX Health IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis. We’re transforming the way care is delivered with a focus on patient comfort and convenience. Our commitment to exceptional care extends to our employees as well—we empower our team to thrive while living our core values: Be Kind, Do What’s Right, Never Settle, Make It Happen, and Enjoy the Ride. Our Mission: To improve the lives of those we care for by redefining the care experience Our Vision: To be the nation’s preferred destination for pharmaceutical care of complex chronic conditions Our Commitment: To deliver an unmatched care experience with a foundation in world class service and clinical excellence <hr> Benefits We Offer <ul> <li>Comprehensive Healthcare – Medical, dental, and vision coverage, including prescription drug plans and telemedicine services.</li> <li>Flexible Savings Options – Choose from Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA) to manage healthcare costs.</li> <li>Supplemental Protection – Accident, critical illness, and hospital indemnity plans to provide additional financial security.</li> <li>Dependent Care FSA – Pre-tax savings for eligible childcare and dependent care expenses.</li> <li>401(k) Retirement Plan – Secure your future with a competitive company match.</li> <li>Disability Coverage – Voluntary short-term and long-term disability plans to protect your income.</li> <li>Fertility and Family Support – Resources and benefits designed to support fertility care and family planning.</li> <li>Life and AD&D Insurance – Financial protection for you and your loved ones.</li> <li>Counseling and Wellness Support – Free resources to support emotional, physical, and financial well-being.</li> <li>Education Assistance – Tuition reimbursement and certification support to help you grow in your career.</li> <li>Continuing Education – Access to a CEU library for ongoing professional development.</li> <li>Charitable Giving and Volunteer Program – Matched donations and paid volunteer time off to support causes you care about.</li> <li>Employee Referral Bonus – Earn rewards for helping us find top talent.</li> </ul> Note: Benefits may vary by employment type. Contact HR for details on eligibility and coverage. <hr> EEO STATEMENT IVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. IVX Health wants to have the best available people in every job, and we make employment decisions on the basis of business needs, job requirements, individual qualifications, and merit. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, military and veteran status, age, physical or mental disability, genetic characteristic, reproductive health decisions, family or parental status, or any other legally protected category in accordance with applicable federal, state, or local laws. IVX Health prohibits discrimination, harassment, or retaliation of any kind based on any of these characteristics. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation benefits, and separation of employment. <a href="https://ivxhealth.com/privacy-policy/">Privacy Policy</a></div>