Infusion Prior Authorization Coordinator

About the role

Arizona Arthritis & Rheumatology Associates, P.C. (AARA) is the largest private Rheumatology practice in the United States, with over 60 providers, 15 sites, and 350 employees. We are seeking an ambitious, friendly, positive, and compassionate Infusion Prior Authorization Coordinator to join our team. This role is responsible for the financial and administrative coordination of physician-administered infusion and injection therapies from order through treatment approval. As the department’s insurance and reimbursement expert, you will ensure patients receive timely financial clearance while maximizing reimbursement opportunities and maintaining compliance with payer requirements.

This position has limited patient-facing responsibilities, allowing dedicated focus on benefit investigations, prior authorizations, appeals, financial assistance, insurance compliance, and ongoing payer management. You will collaborate with In Office Infusion Coordinators, providers, nursing staff, revenue cycle, and outside infusion facilities to ensure seamless patient care.

Responsibilities

• Collaborate with providers, nursing staff, In Office Infusion Coordinators, revenue cycle, insurance companies, manufacturer reimbursement support teams, and outside infusion facilities.
• Provide timely updates regarding authorization status, financial barriers, payer changes, and treatment readiness.
• Maintain complete and accurate documentation within the electronic health record, including:
  • Benefit investigations
  • Prior authorizations
  • Appeals
  • Financial assistance approvals
  • Insurance correspondence
  • Patient communications
  • Outside referral tracking

Requirements

• Minimum two years of experience in infusion, rheumatology, oncology, specialty practice, or medical insurance coordination.
• Experience with physician-administered medications and buy-and-bill reimbursement.
• Extensive knowledge of medical benefit investigations and prior authorizations.
• Experience with Medicare, Medicare Advantage, Medicaid, and commercial payer policies.
• Experience with manufacturer copay assistance and charitable foundation programs.
• Experience using NextGen.