Remote Referral & Authorization Coordinator - Infusion

UnityPoint Health; Oregon; Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Paid time off

Parental leave

401K matching

Dental and health insurance

Paid holidays

Short and long-term disability

Pet insurance

Daily Pay

Tuition reimbursement

Adoption assistance

Job summary

UnityPoint Health is seeking a Referral and Authorization Coordinator for Infusion Services. The role supports timely access to infusion therapies by managing referrals, coordinating authorizations, and working with payers and providers within our ambulatory infusion network.

The ideal candidate will review benefits, gather required documentation, and assist patients with cost-sharing and financial resources. A strong emphasis is placed on accuracy, compliance, and cross-team collaboration.

Qualifications

• 2 years experience with benefit investigations, formulary reviews, and prior authorization workflows.
• 2 years experience in infusion services, specialty pharmacy, or high-cost medication workflows.
• 2 years experience using electronic medical records (EMRs) and payer portals.
• 1 year medical experience, preferably in community health, home health, or pharmacy.

Responsibilities

• Manage infusion service referrals, including accurate intake, scheduling, medication coordination, and timely communication with patients and referring providers.
• Conduct insurance eligibility and benefit investigations, including formulary reviews, coverage restrictions, network requirements, and patient cost-share assessments.
• Submit and monitor prior authorizations, obtain required clinical documentation, and follow up with payers to support timely approval of infusion therapies.
• Review authorization denials, coordinate appeals, and collaborate with providers to identify appropriate alternative therapies when necessary.
• Coordinate with medication assistance advocates to connect patients with manufacturer assistance programs, foundations, and other financial resources to reduce barriers to treatment.
• 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 and performance expectations, and support process improvements and other operational needs as assigned.

Education

High School Diploma/GED

Job description

UnityPoint Health is seeking a Referral and Authorization Coordinator for Infusion Services. The role supports timely access to infusion therapies by managing referrals, coordinating authorizations, and working with payers and providers within our ambulatory infusion network.

The ideal candidate will review benefits, gather required documentation, and assist patients with cost-sharing and financial resources. A strong emphasis is placed on accuracy, compliance, and cross-team collaboration.