Prior Authorization Scheduling

Description

The Clinical Care Coordinator performs a variety of patient care and administrative responsibilities to support patients and providers in the Rheumatology department. This is an in‑person, full‑time role.

Essential Functions

• Manage prior authorizations and scheduling for rheumatology and infusion patients.
• Provide communication and liaison between providers and patients.
• Obtain benefit, referral, and/or authorization requirements per insurance guidelines.
• Follow up on patient inquiries, contacting providers and/or insurance companies as necessary.
• Maintain a working knowledge of health‑care plan requirements and health‑plan networks.
• Collaborate with providers, clinical staff, and insurance companies to ensure efficient workflow and patient care.
• Perform any other duties as assigned.

Education and Experience Requirements

• High school diploma/GED or equivalent.
• At least 2 years of prior‑authorization experience.
• Medical terminology knowledge (strongly preferred).
• Strong understanding of prior‑authorization processes and infusion scheduling.
• Excellent communication, organizational, and problem‑solving skills.
• Ability to work independently and as part of a collaborative team.
• Customer service experience.

Schedule

Full‑time, Monday – Friday, 8:00 AM – 4:00 PM. Work three days per week at the Hudson location and two days per week at the Woodbury location.

Benefits

• Comprehensive benefits package (details available via link).
• Medical, dental, and vision plans (including maternity bundle) for employees working 30+ hours per week.
• Tuition reimbursement.
• 401(k) profit sharing.
• Employee Assistance Program.
• Lifetime Fitness subsidy.
• Car rental discounts.
• Home, auto, and pet insurance savings programs.
• Additional employee discounts and programs.

Working Conditions

• Frequently lift up to 50 lb independently; occasionally lift up to 100 lb with assistance.
• Required to stand, walk, bend, and move continuously throughout the shift.
• Frequent physical activities such as pushing, pulling, and reaching.
• Visual acuity to read electronic and paper documents.
• Auditory ability to participate in phone or video calls clearly.
• Manual dexterity to operate standard office equipment (computer, phone, printer).