Authorization CoordinatorReview home infusion orders and the associated medical documentation to ensure accuracy before submitting authorization requests. Perform the necessary authorization submissions for initial referrals, modifications to orders, insurance changes, and ongoing long-term therapies. Ensure that all completed tasks are documented clearly and accurately.Verify insurance eligibility and benefitsObtain referrals and complete required notifications and payor formsSubmit pharmacy and medical insurance pre-authorizations via fax, payer portal, or telephoneProcess authorization requests for: New referrals, Order changes, Insurance updates, Ongoing long-term therapiesCoordinate with internal teams, providers, and external customers to obtain additional information for authorization requestsTrack and follow up on all appeal and authorization submissions according to departmental policy and insurance payer requirementsCommunicate approvals, denials, appeal options, and ongoing status to pharmacy staff, billing, healthcare team, customers, and supervisorsReview home infusion orders and medical documentation for accuracyHandle incoming and outgoing calls related to the authorization/appeal processCollaborate with providers and internal teams to address denials or gather alternative documentationReport recurring payer issues, trends, or changes to the supervisorCross-train within the department to ensure smooth workflow and coverageEnsure all tasks are performed accurately, efficiently, and within required timeframes to meet departmental and insurance guidelinesMaintain HIPAA compliance and participate in ongoing training as requiredUnderstand and comply with all applicable company policies and proceduresReport any misconduct, suspicious, or unethical activities to the Compliance OfficerPerform other duties as directed by managementHigh school diploma or general education degree (GED)Minimum of 1 year of related experience in medical insurance authorization and/or trainingProficiency in basic math skills is required for this positionComputer skills required: Google software (Docs; Drive; Sheets)Experience in home infusion pharmacy preferred, not requiredContinually required to stand, walk, sit, talk and hearContinually required to utilize hand and finger dexterityThe employee must occasionally lift and/or move up to 30 poundsSpecific vision abilities required by this job include: Close vision; Distance vision; Color vision; Peripheral vision; Depth perception and ability to adjust focus