IVX Health · 2 days ago
Specialty Pharmacy Prior Authorization Coordinator Template
United States
Full-time
Remote
Mid Level
$24/hr - $25/hr
3+ years expIVX Health is redefining patient care by providing exceptional infusion and injection therapy for individuals with chronic conditions. They are seeking a Specialty Pharmacy Prior Authorization Coordinator to ensure timely approvals for medical services, supporting patients and clinical teams in the process. The role involves streamlining and managing prior authorization requests, collaborating with various stakeholders, and providing patient-centered communication.
Health CareMedicalTherapeutics
Responsibilities
Review and submit Prior Authorization (PA) requests with precision and speed, adhering to insurance guidelines
Investigate denied requests, manage appeals, and find solutions to remove barriers to patient care
Partner with clinical staff, payer representatives, and patients to facilitate approvals and keep communication clear and patient-focused
Analyze documentation, identify gaps, and ensure everything is accurate and ready to go for insurance submission
Provide exceptional patient-centered communication to keep everyone informed and confident in the process
Qualification
Required
Proficient in understanding and navigating the complexities of Prior Authorization (PA) processes for both commercial and Part D payors
Demonstrates strong analytical thinking to review and interpret clinical information accurately for PA submissions
Exceptional verbal and written communication skills to interact professionally with IVX Health clinical teams, insurance companies, and patients
Ability to thrive in a fast-paced environment, managing multiple PA requests simultaneously while maintaining attention to detail and meeting deadlines
Self-starter with the ability to manage multiple tasks effectively while committing to quality and accuracy
Knowledgeable about current healthcare regulations, particularly HIPAA guidelines, ensuring confidentiality and integrity in handling patient information during PA activities
Competent in using various office software applications such as Microsoft Office Suite (Word, Excel, Outlook), electronic health record (EHR) systems, and practice management software
High School Diploma or GED required
Minimum three (3) years of experience working in hospital or clinical service access, physician office scheduling, or similar role required
Preferred
2 Year / Associate's degree in Medical Office Management, Medical Insurance, or Medical Coding strongly preferred
Registered Pharmacy Technician preferred
Previous experience in a pharmacy setting is strongly preferred
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