Remote Infusion Referrals & Authorization Coordinator

UnityPoint Health; Iowa City (IA); Remote; USD 52.000 - 64.000; Vollzeit

Benefits dieser Stelle

Paid time off

401K matching

Dental and health insurance

Short and long-term disability

Pet insurance

Daily Pay

Zusammenfassung

UnityPoint Health is seeking a Referral and Authorization Coordinator for Infusion Services. This remote role handles new referrals, coordinates authorizations, enters and verifies information in the EMR, and collaborates with providers and payers to prevent delays for infusion therapies.

You will conduct benefit investigations, submit requests and appeals, and work with billing and patient assistance programs to support cost-share guidance while ensuring compliance and timely access to care.

Qualifikationen

• 2 years of experience in benefit investigations and prior authorization workflows.
• Experience with EMRs and payer portals preferred.
• Strong communication and customer service skills.

Aufgaben

• Manage infusion service referrals, including intake, scheduling, medication coordination, and timely communication with patients and referring providers.
• Conduct insurance eligibility and benefit investigations, including formulary reviews and patient cost-share assessments.
• Submit and monitor prior authorizations, obtain required documentation, and follow up with payers to support timely approvals.
• Review authorization denials, coordinate appeals, and collaborate with providers on alternative therapies when necessary.
• Coordinate with medication assistance advocates to connect patients with assistance programs and financial resources.
• Maintain positive relationships with patients, providers, referral sources, pharmacies, and internal teams while directing inquiries to the appropriate service line.
• Provide excellent customer service, maintain accurate documentation, meet productivity expectations, and support process improvements.

Kenntnisse

Benefit investigations

Prior authorizations

EMR familiarity

Payer portals

Customer service

Documentation

Scheduling

Ausbildung

High School Diploma/GED

Tools

EMR systems

Payer portals

Jobbeschreibung

UnityPoint Health is seeking a Referral and Authorization Coordinator for Infusion Services. This remote role handles new referrals, coordinates authorizations, enters and verifies information in the EMR, and collaborates with providers and payers to prevent delays for infusion therapies.

You will conduct benefit investigations, submit requests and appeals, and work with billing and patient assistance programs to support cost-share guidance while ensuring compliance and timely access to care.