Prior Authorization Coordinator at IVX Health

Remote - USFull-timeRemotePrior AuthorizationPosted about 1 month ago

About the Role

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 patients managing complex chronic conditions. Through a patient-centered approach focused on comfort, convenience, clinical excellence, and exceptional service, we're redefining the care experience and improving lives every day. As a growing healthcare organization, we're committed to supporting our employees with meaningful work, professional development opportunities, and a culture built on collaboration, innovation, and purpose. Guided by Our Purpose Mission: To improve the lives of those we care for by redefining the care experience. Vision: To be the nation's preferred destination for pharmaceutical care of complex chronic conditions. Values: Be Kind. Do What's Right. Never Settle. Make It Happen. Enjoy the Ride. <hr> <div> <h3>Benefits & Perks</h3> <div class="paragraph-in-scc-markdown-text ___1ngh792 ftgm304 f1iaxwol">Eligible employees may receive:</div> <ul> <li class="___ccc16d0 fje8fi8 f1ng9h0j f1bwykku f18jd3zf">Medical, Dental, and Vision Coverage</li> <li class="___ccc16d0 fje8fi8 f1ng9h0j f1bwykku f18jd3zf">Prescription Drug Coverage and Telemedicine Services</li> <li class="___ccc16d0 fje8fi8 f1ng9h0j f1bwykku f18jd3zf">Health Savings Account (HSA), Health Reimbursement Arrangement (HRA), and Flexible Spending Options</li> <li class="___ccc16d0 fje8fi8 f1ng9h0j f1bwykku f18jd3zf">401(k) Retirement Plan with Company Match</li> <li class="___ccc16d0 fje8fi8 f1ng9h0j f1bwykku f18jd3zf">Life, AD&D, and Disability Insurance</li> <li class="___ccc16d0 fje8fi8 f1ng9h0j f1bwykku f18jd3zf">Accident, Critical Illness, and Hospital Indemnity Coverage</li> <li class="___ccc16d0 fje8fi8 f1ng9h0j f1bwykku f18jd3zf">Fertility and Family Planning Support</li> <li class="___ccc16d0 fje8fi8 f1ng9h0j f1bwykku f18jd3zf">Tuition Reimbursement and Certification Assistance</li> <li class="___ccc16d0 fje8fi8 f1ng9h0j f1bwykku f18jd3zf">Continuing Education and Professional Development Resources</li> <li class="___ccc16d0 fje8fi8 f1ng9h0j f1bwykku f18jd3zf">Employee Assistance Program and Wellness Support</li> <li class="___ccc16d0 fje8fi8 f1ng9h0j f1bwykku f18jd3zf">Paid Time Off</li> <li class="___ccc16d0 fje8fi8 f1ng9h0j f1bwykku f18jd3zf">Volunteer Time Off and Charitable Giving Match</li> <li class="___ccc16d0 fje8fi8 f1ng9h0j f1bwykku f18jd3zf">Employee Referral Bonus Program</li> </ul> <div class="paragraph-in-scc-markdown-text ___1ngh792 ftgm304 f1iaxwol">Benefits may vary based on employment status and eligibility.</div> </div> <hr> EEO STATEMENT <div> <div class="paragraph-in-scc-markdown-text ___1ngh792 ftgm304 f1iaxwol">IVX Health is proud to be an Equal Opportunity Employer. We are committed to creating an inclusive workplace where all employees are treated with respect and provided equal employment opportunities. Employment decisions are made based on business needs, job requirements, qualifications, merit, and applicable law. </div> <div class="paragraph-in-scc-markdown-text ___1ngh792 ftgm304 f1iaxwol">IVX Health prohibits discrimination, harassment, and retaliation of any kind and is committed to providing reasonable accommodations to qualified individuals with disabilities and those with sincerely held religious beliefs. <a href="https://ivxhealth.com/privacy-policy/">Privacy Policy</a></div> </div></div>

About the Role

Related Roles