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Prior Authorization Coordinator

Company: VirtualVocations
Location: Toledo
Posted on: February 4, 2025

Job Description:

A company is looking for a Prior Authorization Coordinator to support their Specialty Infusion Pharmacy remotely.



Key Responsibilities

Maintain prior authorizations, copay assistance, and verify insurance coverage for ongoing services
Review clinical documents and secure prior authorizations or medical reviews
Provide exceptional customer service and document insurance coverage for medications and infusion services


Required Qualifications

High school diploma or equivalent required
Specialty infusion prior authorization experience required
Experience initiating and securing prior authorizations and appeals
Ability to interpret payor contract fee schedules based on NDC and HCPCS units
Ability to handle multiple priorities in a changing environment

Keywords: VirtualVocations, Sterling Heights , Prior Authorization Coordinator, Other , Toledo, Michigan

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