Prior Authorization Coordinator
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!
Work Options
- Fully Remote
- Hybrid
- In-office (Brentwood, TN)
Schedule
Monday - Friday, standard business hours (no nights, weekends, or holidays)
What You Will Do
- 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.
What We Are Looking For
- Self-motivated and accountable
- Tech-savvy and detail-oriented
- Experience with prior authorizations for biologics, oncology, or specialty therapies preferred
Prior Authorization Coordinator Pay Range
$22 USD - $24 USD
About IVX Health
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis. We’re transforming the way care is delivered with a focus on patient comfort and convenience. Our commitment to exceptional care extends to our employees as well—we empower our team to thrive while living our core values: Be Kind, Do What’s Right, Never Settle, Make It Happen, and Enjoy the Ride. Our Mission: To improve the lives of those we care for by redefining the care experience Our Vision: To be the nation’s preferred destination for pharmaceutical care of complex chronic conditions Our Commitment: To deliver an unmatched care experience with a foundation in world class service and clinical excellence
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.