Infusion Prior Authorization & Reimbursement Specialist

Arizona Arthritis; Phoenix (AZ); On-site; USD 55,000 - 85,000; Full time

Job summary

Arizona Arthritis & Rheumatology Associates, P.C. is the largest private Rheumatology practice in the United States.

The practice has over 60 providers, 15 sites and over 350 employees providing assessment and treatments for our rheumatology patients. Our providers work together to keep patients healthy and are recognized for excellence in medicine and for being pioneers in new treatments, ably supported by our Research department.

Qualifications

• Minimum two years of infusion, rheumatology, oncology, specialty practice, or medical insurance coordination.
• Experience with physician-administered medications and buy-and-bill reimbursement.
• Extensive knowledge of medical benefit investigations and prior authorizations.
• Experience with Medicare, Medicare Advantage, Medicaid, and commercial payer policies.
• Experience with manufacturer copay assistance and charitable foundation programs.
• Experience using Nextgen.

Responsibilities

• Coordinate authorization status updates and payer communications.
• Maintain complete documentation in the EHR for benefit investigations and prior authorizations.
• Assist with appeals and financial assistance processes.
• Collaborate with In Office Infusion Coordinators, nursing staff, revenue cycle and insurers.
• Track outside infusion facilities and manage referral status.

Skills

Infusion experience

Rheumatology knowledge

Tools

Nextgen

Job description

Arizona Arthritis & Rheumatology Associates, P.C. is the largest private Rheumatology practice in the United States.

The practice has over 60 providers, 15 sites and over 350 employees providing assessment and treatments for our rheumatology patients. Our providers work together to keep patients healthy and are recognized for excellence in medicine and for being pioneers in new treatments, ably supported by our Research department.