Authorization Specialist — Drive Fast, Accurate Patient Access

Remote Jobs; Phoenix (AZ); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical, dental, vision plans

Paid time off and holidays

Paid paternal leave

401(k) matching

Tuition reimbursement

Employee assistance programs

Volunteerism days

Professional development opportunities

Employee referral program

Job summary

Vital Care Infusion Services in Phoenix, AZ, is hiring for a full-time intake/authorizations specialist to initiate prior authorizations, verify benefits, and collaborate with franchise partners and payers to optimize collections and reduce denials.

The role emphasizes accuracy, timely submissions, and customer communication, supporting infusion therapy operations across franchise locations in the United States.

Qualifications

• Two years' experience in intake/authorizations and home infusion therapy.
• High school diploma or equivalent.

Responsibilities

• Review patient files for completeness and accuracy, ensure all revenue opportunities are included to complete and submit prior authorizations timely for payer reimbursement.
• Communicate effectively with franchise partners, payers, and other VCI departments regarding the status of authorizations.
• Document case activity, communications, and correspondence in the computer system to ensure completeness and accuracy of account activity and actions taken to resolve outstanding authorization issues.
• Investigate and verify benefits for pharmacy and medical third-party claims.
• Obtain reauthorizations; initiate requests, follow up to provide the additional required information, track progress, expedite responses from insurance carriers and other payers, and maintain contact with customers to keep them continuously informed.
• Track, report, and escalated service issues arising from requests for authorizations or other issues that delay service to ensure patient access and to avoid delays that may interrupt therapy.
• Communicate financial obligation information with patients so that they clearly understand all therapy costs before starting service.
• Perform other related duties as assigned.

Skills

Excellent communication

Billing & collections

MS Office

Intake/authorizations knowledge

Education

High school diploma

Tools

Pharmacy software

EMR systems

Job description

Vital Care Infusion Services in Phoenix, AZ, is hiring for a full-time intake/authorizations specialist to initiate prior authorizations, verify benefits, and collaborate with franchise partners and payers to optimize collections and reduce denials.

The role emphasizes accuracy, timely submissions, and customer communication, supporting infusion therapy operations across franchise locations in the United States.