Prior Authorization Coordinator- Infusion medications

Job Description

Description:

The Neurology Center is looking for a Prior Authorization Coordinator to join our practice in our Carlsbad office. The Prior Authorization Coordinator will work alongside our Medical Assistants, Physicians and Advanced Practitioners to obtain authorization for specialty medications for our patients. The ideal candidate will possess the following:

Ability to multi-task

Strong interpersonal skills

Attention to detail

Customer service skills

Team player attitude

Willingness to learn

Job duties include but are not limited to:

Contacting insurances to obtain prior authorization

Completing incoming prior authorizations on Covermymeds.com

Coordinating appeals with providers as needed

Educate patients on current copay assistance for medications

Preferred experience:

1-2 years prior insurance verification experience (preferred)

Experience with specialty pharmacies (preferred)

Experience submitting authorizations (preferred)

EPIC EMR experience (preferred)Requirements:

High school diploma or equivalent required; Medical Assistant certification or related healthcare training preferred.

Minimum 1–2 years of experience with prior authorizations, preferably for injectable medications, specialty medications, or neurology.

Knowledge of insurance verification, prior authorization requirements, and payer guidelines.

Familiarity with CPT and ICD-10 codes.

Experience working with EMR/EHR systems; Epic experience preferred.

Strong attention to detail and ability to manage multiple authorization requests and deadlines.

Excellent communication and customer service skills when working with patients, providers, insurance companies, and specialty pharmacies.

Ability to obtain and review clinical documentation needed to support authorization requests.

Understanding of HIPAA and patient confidentiality requirements.

Strong organizational, problem-solving, and follow-up skills.

Ability to work independently while collaborating with providers and clinical staff.

Full-time