Remote Infusion Referrals & Authorization Coordinator

UnityPoint Health; Madison (WI); Remote; USD 52,000 - 76,000; Full time

Benefits offered by this job

Dental insurance

Health insurance

Paid holidays

Short-term disability

Long-term disability

Daily Pay

tuition reimbursement

Adoption assistance

Job summary

UnityPoint Health is seeking a skilled Referral and Authorization Coordinator for Infusion Services. This role manages referrals, coordinates prior authorizations, and ensures compliant access to infusion therapies across ambulatory sites.

You will enter data into the EMR, evaluate medical necessity, and collaborate with providers and payers to prevent delays. The coordinator conducts benefit investigations, submits authorizations and appeals, and partners with billing and medication assistance

Qualifications

• High School Diploma or GED.
• Pharmacy technician certification/registration in IA, IL, or WI.
• Minimum 2 years in benefit investigations, formulary reviews, and prior authorizations.
• Experience with EMRs and payer portals preferred.
• Medical experience in community health, home health, or pharmacy preferred.

Responsibilities

• Manage infusion service referrals with intake, scheduling, and communication with patients and referring providers.
• Conduct insurance eligibility and benefit investigations, formulary reviews, network requirements, and cost-share assessments.
• Submit and monitor prior authorizations, gather clinical documentation, and liaise with payers for timely approvals.
• Coordinate with medication assistance advocates to connect patients with manufacturer programs and financial resources.
• Maintain relationships with patients, providers, referrers, pharmacies, and internal teams; direct inquiries appropriately.

Skills

Customer service

Communication

Attention to detail

Education

High School Diploma/GED

Pharmacy technician certification/registration

Tools

EMR systems

Payer portals

Job description

UnityPoint Health is seeking a skilled Referral and Authorization Coordinator for Infusion Services. This role manages referrals, coordinates prior authorizations, and ensures compliant access to infusion therapies across ambulatory sites.

You will enter data into the EMR, evaluate medical necessity, and collaborate with providers and payers to prevent delays. The coordinator conducts benefit investigations, submits authorizations and appeals, and partners with billing and medication assistance