Infusion Access & Authorization Specialist

DeKalb Health; Fayetteville (AR); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid vacation

Paid holidays

401(k) plan with company matching

Free care at Arcare clinics

Job summary

Arcare in Arkansas seeks a Specialty Infusion Coordinator to facilitate patient access to infusion and biologic therapies by coordinating insurance authorization, financial assistance, and treatment scheduling.

This role serves as a liaison between patients, providers, infusion centers, specialty pharmacies, and insurance carriers to ensure timely initiation and continuation of therapy, while maintaining accurate EMR documentation.

Qualifications

• High school diploma or equivalent required; Associate's or Bachelor's degree preferred.
• Minimum of two years of experience in healthcare, medical insurance, specialty pharmacy, infusion services, or patient access.
• Experience with prior authorizations, insurance verification, patient financial responsibility on biologic or infusion medications preferred.
• Knowledge of commercial, Medicare, and Medicaid insurance processes.
• Knowledge of Pharmaceutical Manufacturer Portals.

Responsibilities

• Coordinate insurance benefit verification and prior authorization requests for infusion and biologic medications.
• Monitor authorization status and proactively resolve payer issues to minimize treatment delays.
• Assist patients in identifying and obtaining manufacturer copay assistance, foundation support, and other financial assistance programs.
• Collaborate with providers, nurses, specialty pharmacies, infusion centers, and payers to coordinate treatment plans.
• Maintain accurate documentation in the electronic medical record (EMR) and other tracking systems.
• Communicate with patients regarding authorization status, financial assistance, and treatmentscheduling.
• Ensure compliance with payer requirements, organizational policies, and regulatory standards.
• Track authorization renewals and coordinate reauthorization prior to expiration.
• Identify barriers to therapy and implement solutions to improve patient access and continuity of care.

Skills

Prior authorizations

Insurance verification

Payer processes knowledge

Pharmaceutical manufacturer portals

Education

High school diploma

Associate's or Bachelor's degree preferred

Job description

Arcare in Arkansas seeks a Specialty Infusion Coordinator to facilitate patient access to infusion and biologic therapies by coordinating insurance authorization, financial assistance, and treatment scheduling.

This role serves as a liaison between patients, providers, infusion centers, specialty pharmacies, and insurance carriers to ensure timely initiation and continuation of therapy, while maintaining accurate EMR documentation.