Authorization Specialist — Infusion Pharmacy Access

Talentify; Monroeville (Allegheny County); On-site; USD 52,000 - 78,000; Full time

Benefits offered by this job

Medical benefits

PTO

Paternal leave

Volunteer days

401(k) matching

Tuition reimbursement

Employee assistance programs

Referral program

Professional development

Job summary

Vital Care Infusion Services is seeking an Authorization Specialist to initiate authorizations with emphasis on accuracy and timeliness. You will minimize denial rates and support revenue through effective credentialing and re-credentialing processes.

The role requires two years’ intake/authorization experience and a high school diploma or equivalent, with strong communication skills and proficiency in billing and payer coordination.

Qualifications

• Two years' experience in intake/authorizations and home infusion therapy.
• High school diploma or equivalent.
• Excellent communication skills in English.
• Proven knowledge of billing and collection processes with payers.

Responsibilities

• Review patient files for completeness and accuracy to submit prior authorizations timely.
• Communicate with franchise partners, payers, and other departments about authorization status.
• Document activity and correspondence in the system and schedule required follow-ups.
• Investigate and verify benefits for pharmacy and medical claims.
• Obtain reauthorizations and follow up to provide required information.
• Track and report service issues delaying authorizations to avoid therapy delays.
• Explain therapy costs to patients before starting service.
• Perform other related duties as assigned.

Skills

Communication

Billing & Collections

Organization

Payer collaboration

MS Office & Pharmacy software

Education

High school diploma or equivalent

Two years' experience in intake/authorizations and home infusion therapy

Tools

MS Office suite

Pharmacy applications

Job description

Vital Care Infusion Services is seeking an Authorization Specialist to initiate authorizations with emphasis on accuracy and timeliness. You will minimize denial rates and support revenue through effective credentialing and re-credentialing processes.

The role requires two years’ intake/authorization experience and a high school diploma or equivalent, with strong communication skills and proficiency in billing and payer coordination.