Prior Authorization & Reimbursement Specialist

Vital Care Infusion Services; Monroeville (Allegheny County); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Health insurance

Dental plan

Vision plan

Paid time off

Paid holidays

401(k) matching

Tuition reimbursement

Employee assistance program

Volunteer time off

Job summary

Vital Care Infusion Services in Monroeville, PA, seeks an Authorization Specialist to initiate prior authorizations with accuracy and timeliness, aiming to reduce denial rates, DSO, and bad debt. You will coordinate with franchise partners, payers, and internal teams to secure timely authorizations and ensure compliant documentation.

The ideal candidate has 2+ years in intake/authorizations and home infusion, a high school diploma, and strong communication and organizational skills.

Qualifications

• 2+ years in intake/authorizations and home infusion is required.
• High school diploma or equivalent required.

Responsibilities

• Review patient files for completeness and accuracy to submit timely authorizations.
• Communicate with franchise partners, payers, and internal teams on authorization status.
• Document case activity and follow up on outstanding authorization issues.

Skills

Communication

Billing & collections

Attention to detail

Documentation

MS Office

Education

Two years' experience in intake/authorizations

High school diploma or equivalent

Tools

MS Office Suite

Pharmacy applications

Job description

Vital Care Infusion Services in Monroeville, PA, seeks an Authorization Specialist to initiate prior authorizations with accuracy and timeliness, aiming to reduce denial rates, DSO, and bad debt. You will coordinate with franchise partners, payers, and internal teams to secure timely authorizations and ensure compliant documentation.

The ideal candidate has 2+ years in intake/authorizations and home infusion, a high school diploma, and strong communication and organizational skills.