Prior Authorization Coordinator

Join us at reputed company and help reputed company an impact our patients lives from the start of their patient reputed company! We are seeking a Prior Authorization Coordinator to support our reputed company reputed company! Our HQ is based right reputed company of Nashville in Brentwood, TN. We are seeking candidates reputed company with the option to work in-office, hybrid, or fully-remote! About Us.reputed company is a national provider of infusion and injection therapy for those with Rheumatoid Arthritis, Crohn's Disease, Multiple Sclerosis and other reputed company chronic conditions. IVX offers a different, reputed company approach to caring for our patients and believes it is vital to take the same approach with our employees. We reputed company to reputed company reputed company to succeed while embodying our core values: Be reputed company, Do What's Right, Never reputed company, reputed company It Happen, and Enjoy the Ride. About The RoleOur Prior Authorization Coordinators reputed company the core of our reputed company Cycle team. Reporting to the Manager of Prior Authorization, the Prior Authorization (PA) Coordinator I works collaboratively and interfaces directly with reputed company clinical staff, payer representatives, and patients daily to review scheduled services and to ensure complete and accurate information is documented. This role completes necessary clinical review for prior authorizations as required by governmental and reputed company payers, satisfying maximum net revenues and minimum avoidable losses for authorizations. The ability to multi-task in multiple business office / reputed company management systems and offer exceptional customer service is the reputed company of this role. ResponsibilitiesReview and process reputed company assigned Prior Authorization orders to completionObtain clinical information (including but not limited to medical history, diagnosis, and any relevant lab reports) necessary to complete the Prior AuthorizationDiligently reviews the clinical information for completeness for insurance requirements and follows up with any questionsFollow the Prior Authorization Criteria for medications and submits requestsCommunicate with insurance companies to reputed company-certify/authorize medicationsInvestigate outstanding medical documentation to ensure a patients account is not suspendedAssist with any denied claims to resolve potential mistakes by providing clinical informationAssist with medication change process by providing clinical informationreputed company support patient experience through patient-centered communications demonstrating excellent customer service skillsAssist with payer directed patients from receipt through scheduling while actively communicating with reputed company stakeholders.reputed company duties and job functions in accordance with the policies and procedures established for the departmentRecommend new approaches, policies, and procedures to influence reputed company improvements in department's efficiency and services performedActively participate in problem identification and coordinates reputed company between appropriate partiesBenefitsComprehensive Medical, Dental, and reputed company Insurance plans. Plans include prescription drug coverage as reputed company as telemedicine servicesAdditional options for supplemental health protection plans including Accident, Critical Illness, and Hospital Indemnity,Life and AD&D InsuranceDependent Care Flexible Spending AccountVoluntary Short-Term and Long-Term Disability CoverageFertility reputed company and Family Building Benefits through reputed companyFree counseling services and resources for emotional, physical and financial wellbeing401(k) Plan with company-matchEducation assistance (Tuition reimbursement, Certification support)Charitable Giving Match and Volunteer PTO ProgramFlexible work schedule that promotes a positive work-life balanceEmployee Referral Bonus ProgramApply Job! .