Rheumatology Prior Authorization & Infusion Scheduler

iHealth; Hudson (WI); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Medical, Dental & Vision plans

Tuition Reimbursement

401(k) Profit Sharing

Employee Assistance Program

Lifetime Fitness Subsidy

Job summary

Revo/ i-Health is seeking a Clinical Care Coordinator to support patient care and administrative tasks in the Rheumatology department. The role is in-person, full-time, with duties including prior authorization management and infusion scheduling across Hudson and Woodbury locations.

The candidate will liaise with providers and patients, ensure insurance requirements are met, and maintain up-to-date knowledge of plan networks. Strong communication and organizational skills are required.

Qualifications

• High school diploma or GED is required.
• Minimum 2 years of prior authorization experience.
• Knowledge of health plan requirements and infusion scheduling is preferred.
• Strong communication, organizational and problem-solving skills are essential.
• Ability to work independently and in a team environment.
• Customer service experience is valued.

Responsibilities

• Manage prior authorizations and scheduling for rheumatology and infusion patients.
• Serve as liaison between providers and patients.
• Obtain benefit, referral and authorization requirements per insurance guidelines.
• Follow up on patient inquiries with providers or insurers as needed.
• Maintain knowledge of health plan requirements and networks.
• Collaborate with providers, clinical staff and insurers to ensure efficiency.

Skills

Prior authorization processes

Infusion scheduling

Communication

Organizational skills

Problem solving

Team collaboration

Customer service

Independent work

Education

High school diploma / GED

Job description

Revo/ i-Health is seeking a Clinical Care Coordinator to support patient care and administrative tasks in the Rheumatology department. The role is in-person, full-time, with duties including prior authorization management and infusion scheduling across Hudson and Woodbury locations.

The candidate will liaise with providers and patients, ensure insurance requirements are met, and maintain up-to-date knowledge of plan networks. Strong communication and organizational skills are required.