IVX Health · 19 hours ago
Prior Authorization Coordinator
United States
Full-time
Remote
Mid Level
$20/hr - $24/hr
3+ years expIVX Health is a national provider of infusion and injection therapy focused on improving patient experiences. They are seeking a Prior Authorization Coordinator to facilitate the approval process for specialty treatments, ensuring compliance and improving workflow efficiency.
Health CareMedicalTherapeutics
Responsibilities
Review and Process Prior Authorizations – Thoroughly review Prior Authorization orders and ensure timely and accurate completion
Manage Clinical Documentation – Obtain and assess necessary clinical information such as medical history, diagnosis, and lab reports to support Prior Authorization submissions
Submit and Track Prior Authorizations – Follow criteria for medication approvals and accurately submit requests to insurance providers
Resolve Authorization Issues – Investigate and resolve outstanding medical documentation concerns and assist in resolving denied claims
Support Patients and Providers – Communicate effectively with patients, clinical staff, and insurance representatives regarding the Prior Authorization process
Ensure Compliance and Process Improvement – Stay up to date with evolving payer policies and identify ways to enhance workflow efficiency
Perform Additional Duties – Take on other responsibilities as assigned to support patient care and operational objectives
Qualification
Required
Hands-on experience with prior authorizations for biologics, oncology, or specialty therapies
Strong understanding of payer guidelines
Exceptional communication skills
Self-motivated and accountable
Proficiency in Electronic Health Records (EHR) systems, payer portals, and Microsoft Office Suite
High School Diploma or GED required
Minimum of three (3) years of experience in hospital or clinical service access, physician office scheduling, or a similar role
Preferred
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
Benefits
Comprehensive Healthcare – Medical, dental, and vision coverage, including prescription drug plans and telemedicine services.
Flexible Savings Options – Choose from Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA) to manage healthcare costs.
Supplemental Protection – Accident, critical illness, and hospital indemnity plans to provide additional financial security.
Dependent Care FSA – Pre-tax savings for eligible childcare and dependent care expenses.
401(k) Retirement Plan – Secure your future with a competitive company match.
Disability Coverage – Voluntary short-term and long-term disability plans to protect your income.
Fertility and Family Support – Resources and benefits designed to support fertility care and family planning.
Life and AD&D Insurance – Financial protection for you and your loved ones.
Counseling and Wellness Support – Free resources to support emotional, physical, and financial well-being.
Education Assistance – Tuition reimbursement and certification support to help you grow in your career.
Continuing Education – Access to a CEU library for ongoing professional development.
Charitable Giving and Volunteer Program – Matched donations and paid volunteer time off to support causes you care about.
Employee Referral Bonus – Earn rewards for helping us find top talent.
Company
IVX Health
IVX Health is a provider of infusion and injection therapy for those with complex chronic conditions.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$136.31MKey Investors
Great Hill PartnersMcKesson Ventures
2021-09-21Series F· $100M
2019-08-05Series C· $22.5M
2017-10-31Series B· $13.5M
Leadership Team
Doug Ghertner
Chief Executive Officer
William Seibels
President & Chief Financial Officer
Recent News
2025-01-09
Company data provided by crunchbase