Prior Authorization Coordinator

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. Work options include fully remote, hybrid, or in-office in Brentwood, TN.

Responsibilities

Review and process prior authorizations; manage clinical documentation; submit and track prior authorizations; resolve authorization issues; support patients and providers; ensure compliance and process improvement; perform additional duties as assigned

Requirements

Hands-on experience with prior authorizations for biologics, oncology, or specialty therapies; strong understanding of payer guidelines; exceptional communication skills; self-motivated and accountable; ability to perform at a high level without direct supervision in a remote setting; proficiency in Electronic Health Records (EHR) systems, payer portals, and Microsoft Office Suite; High School Diploma or GED; minimum of three (3) years of experience in hospital or clinical service access, physician office scheduling, or a similar role

Nice to have

Associate's degree in Medical Office Management, Medical Insurance, or Medical Coding; Certified Medical Assistant (CMA); experience with prior authorizations for biologics, oncology, or specialty therapies preferred

Benefits

Flexible work options (remote, hybrid, or in-office); paid time off; no nights/weekends/holidays schedule; 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; volunteer time off and charitable giving match; employee referral bonus program; career path with promotion opportunities