Copy of Prior Authorization Specialist

AleraCare Holdings, LLC; Boise (ID); On-site; USD 34,000 - 55,000; Full time

Benefits offered by this job

401(k) Matching

Health, Vision, and Dental Insurance

Over 20 days of paid time off annually

One paid community service day

Job summary

Pure Infusion is seeking a proactive Prior Authorization Specialist to manage the prior authorization process and ensure timely access to infusion therapies for patients. You will interpret medical benefits, review clinical documentation, and coordinate with providers and teams to obtain approvals.

The role requires strong organizational, communication, and problem-solving skills, with experience using Salesforce, WeInfuse, and AMD.

Qualifications

• Solid understanding of medical benefits, step therapy, and authorization policies.
• Ability to interpret clinical documentation and payer policies.
• Experience managing a caseload of active authorizations.

Responsibilities

• Efficiently manage the prior authorization process to ensure timely patient care.
• Collaborate with providers, clinical teams, and internal stakeholders to move cases forward.
• Navigate payer policies and paperwork to obtain approvals.

Skills

Organizational skills

Communication

Problem solving

Payer policy knowledge

Tools

Salesforce

WeInfuse

AMD

Job description

Pure Infusion is a fast-growing healthcare company and a leader in chronic-condition infusion therapy. We deliver a personalized, private, and meaningful infusion experience for patients who often need ongoing care and consistency. Pure Infusion has been recognized as one of Utah's fastest-growing companies, and we believe that growth is a reflection of our people, purpose, values, and patient-first culture.

Our patients are referred by specialty physicians for biologic and other infusion therapies, often related to autoimmune disorders or primary deficiencies. These patients need more than an appointment. They need a place that feels calm, professional, comfortable, and human.

Our Core Values

We live by four core values that define our culture and guide our hiring:

People-Obsessed

We care deeply about patients, teammates, referring providers, and every person who interacts with Pure Infusion.

Relentlessly Improving

We look for ways to make every visit, every process, and every interaction better than it was yesterday.

We are willing to challenge old healthcare assumptions and build a better model for patients and teams.

Grateful

We serve with humility, appreciate the people around us, and believe gratitude should turn into action.

Schedule and Benefits Snapshot

Our regular hours are generally Monday through Friday, 8 a.m. to 5 p.m., with most weekends and holidays off. In addition to a competitive hourly rate, we offer:

Competitive hourly rate

401(k) Matching

Health, Vision, and Dental Insurance

Over 20 days of paid time off annually

One paid community service day each year to give back in a way that matters to you, either with your clinic, with the corporate team, or through a community cause you personally care about

Prior Authorization Specialist

Behind every approved infusion treatment is a Prior Authorization Specialist who navigated payer policy, step therapy requirements, and paperwork so the patient never had to. We're looking for someone who thrives on solving that puzzle quickly and accurately.

Why This Role Feels Different

This isn't a repetitive data-entry job. Every case is its own investigation, requiring you to interpret clinical documentation, understand payer policy, and figure out exactly what it will take to get a patient's treatment approved.

You'll manage a real caseload of active authorizations, work across systems like Salesforce, WeInfuse, and AMD, and collaborate daily with providers, clinical teams, and internal stakeholders to keep cases moving. The work you do directly determines how quickly patients get the treatment they need.

If you like being the person who cracks the case and gets things unstuck, this role gives you that challenge every day.

The Job

The Prior Authorization Specialist is a vital team member responsible for efficiently managing the prior authorization process to ensure seamless patient care and timely treatment. This role requires a solid understanding of medical benefits, step therapy, and authorization policies, along with exceptional organizational, communication, and problem-solving skills.

You will manage a cas