Prior Authorization Scheduling

Infinite Health Collaborative; Hudson (WI); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical plan

Dental & Vision plans

Tuition reimbursement

401(k) profit sharing

Employee assistance program

Fitness subsidy

Insurance savings programs

Job summary

The Clinical Care Coordinator at Infinite Health Collaborative supports the Rheumatology department, handling prior authorizations and infusion scheduling for patients. This full-time, in-person role operates Monday–Friday 8:00 AM–4:00 PM, with 3 days per week in Hudson and 2 days in Woodbury.

Ideal candidates bring at least 2 years of prior authorization experience, familiarity with medical terminology, and strong communication, organizational, and problem-solving skills.

Qualifications

• 2 years prior authorization experience
• Medical terminology knowledge strongly preferred
• Strong understanding of prior authorization processes and infusion scheduling
• Excellent communication, organizational, and problem-solving skills
• Ability to work independently and as part of a collaborative team
• Customer service experience

Responsibilities

• Manage prior authorizations and scheduling for rheumatology and infusion patients.
• Provide communication and liaison between providers and patients.
• Obtain benefit, referral and/or authorization requirements per insurance guidelines.
• Provide follow up to patient inquiries, contacting provider and/or insurance company as necessary.
• Maintain a working knowledge of health care plan requirements and health plan networks.
• Collaborate with providers, clinical staff, and insurance companies to ensure efficient workflow and patient care.
• Any and all other duties as assigned.

Skills

Communication skills

Organizational skills

Problem-solving

Customer service

Education

High school diploma or GED

Medical terminology knowledge (preferred)

Job description

JOB REQUIREMENTS: Description

The Clinical Care Coordinator performs a variety of patient care and administrative responsibilities to support patient and providers. Full-time role working Monday - Friday 8:00 AM - 4:00 PM, in-person position, working in the Rheumatology department with primary duties of Prior Auth and Infusion scheduling, 3 days a week at Hudson and 2 days a week at Woodbury.

Twin Cities Orthopedics is an operating division of Infinite Health Collaborative (i-Health), a group of local medical practices, owned and led by its physicians, on a mission to give patients more control over their healthcare.

Essential Functions:

• Manage prior authorizations and scheduling for rheumatology and infusion patients.
• Provide communication and liaison between providers and patients.
• Obtain benefit, referral and/or authorization requirements per insurance guidelines.
• Provide follow up to patient inquiries, contacting provider and/or insurance company as necessary.
• Maintain a working knowledge of health care plan requirements and health plan networks.
• Collaborate with providers, clinical staff, and insurance companies to ensure efficient workflow and patient care.
• Any and all other duties as assigned.

Education and Experience Requirements:

• High school diploma/GED or equivalent.
• 2 years prior authorization experience.
• Medical terminology knowledge strongly preferred.
• Strong understanding of prior authorization processes and infusion scheduling.
• Excellent communication, organizational, and problem-solving skills.
• Ability to work independently and as part of a collaborative team.
• Customer service experience.

Actual starting pay will vary based on education, skills, and experience.

Benefits:

• Employees working 30+ hours per week (60 hours per pay period) are eligible for our Medical (w/Maternity Bundle), Dental & Vision plans, as well as Tuition Reimbursement.
• All employees, regardless of hours, are eligible for 401(k) Profit Sharing, Employee Assistance Program, Lifetime Fitness Subsidy, Car Rental discounts, Home, Auto, & Pet insurance savings programs & more.
• We offer a comprehensive benefits package - to learn more.

Working Conditions:

Frequently lift up to 50 pounds independently and occasionally up to 100 pounds with assistance. Requires the ability to stand, walk, bend, and move continuously throughout the shift. Must be able to frequently perform physical activities such as pushing, pulling, and reaching. Visual acuity to read electronic and paper documents. Auditory ability to participate in phone or video calls clearly. Manual dexterity to operate standard office equipment (e.g., computer, phone, printer).

Equal Employment Opportunity Statement:

Infinite Health Collaborative (i-Health) is an Equal Employment/Affirmative Action employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.