Prior Authorization & Scheduling Coordinator - Twin Cities Orthopedics Rheumatology

About the role

The Clinical Care Coordinator performs a variety of patient care and administrative responsibilities to support patients and providers. This is a full-time, in-person position working Monday through Friday, 8:00 AM – 4:00 PM in the Rheumatology department, with primary duties focused on prior authorizations and infusion scheduling. The schedule is split between two sites: three days per week at Hudson and two days per week at Woodbury. Twin Cities Orthopedics is an operating division of Infinite Health Collaborative (i‑Health), a physician‑owned group of local medical practices on a mission to give patients more control over their healthcare.

Responsibilities

• 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.
• Provide follow‑up to patient inquiries, contacting provider and/or insurance company 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 and all other duties as assigned.

Requirements

• High school diploma/GED or equivalent.
• Two 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.

Pay

Actual starting pay will vary based on education, skills, and experience.

Benefits

• Employees working 30+ hours per week (60 hours per pay period) are eligible for Medical (with Maternity Bundle), Dental, and Vision plans, as well as Tuition Reimbursement.
• All employees, regardless of hours, are eligible for 401(k) Profit Sharing, Employee Assistance Program, Lifetime Fitness Subsidy, Car Rental discounts, and Home, Auto, & Pet insurance savings programs.

Working Conditions

• Frequently lift up to 50 pounds independently and occasionally up to 100 pounds with assistance.
• Requires the ability to stand, walk, bend, and move continuously throughout the shift.
• Must be able to frequently perform 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 (e.g., computer, phone, printer).

Essential Requirements

• Comply with company policies, procedures, practices, and business ethics guidelines.
• Comply with all applicable laws and regulations (e.g., HIPAA, Stark, OSHA, employment laws, etc.).
• Demonstrate prompt and reliable attendance.
• Work at an efficient and productive pace, handle interruptions appropriately, and meet deadlines.
• Prioritize workload effectively.
• Communicate respectfully and professionally in face‑to‑face, phone, and email interactions.
• Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions.