Pharmacy Services Coordinator I (Insurance Authorization Specialist) Position Available In Palm Beach, Florida

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Company:
Cancer Center of South Florida PLLC
Salary:
JobFull-timeOnsite

Job Description

Pharmacy Services Coordinator I (Insurance Authorization Specialist) Cancer Center of South Florida

PLLC – 3.7
West Palm Beach, FL Job Details Estimated:

$38.2K – $44.7K a year 13 hours ago Qualifications Insurance verification Mid-level IV infusion High school diploma or GED Oncology Associate’s degree Documentation review

Full Job Description Description:
POSITION SUMMARY

The Tier I Pharmacy Services Coordinator is responsible for verifying insurance benefits for oncology treatments and confirming coverage. This role includes managing patient referrals to specialists, ensuring timely processing, and maintaining accurate records in the EMR for all prior authorizations and benefit verifications. The specialist communicates with patients about their insurance status, coverage requirements, and out-of-pocket costs, while identifying cases requiring financial assistance and escalating as necessary. The position also involves supporting departmental goals by completing tasks accurately and meeting turnaround time expectations.

CORE ESSENTIAL RESPONSIBILITIES

Verify insurance benefits for prescribed oncology treatments to confirm coverage under the medical benefit. Coordinate and manage patient referrals to specialists, ensuring timely processing and communication with providers when applicable. Upload complete treatment documentation packets into the electronic medical record (EMR) for CCSF and TGH Revenue Cycle teams. Communicate with patients about insurance status, coverage requirements, and out-of-pocket costs. Maintain accurate, up-to-date records in the EMR for all prior authorizations and benefit verifications. Identify cases needing financial assistance and escalate to appropriate staff or programs as needed. Support departmental goals by completing assignments accurately and meeting turnaround time expectations.

Requirements:
EDUCATION & EXPERIENCE

High school diploma or equivalent required; associate degree in healthcare or related field preferred. Minimum of 2 years experience in medical insurance verification, prior authorization, or related healthcare administrative role preferred. Experience in oncology or infusion therapy settings is strongly preferred.

KNOWLEDGE, SKILLS OR ABILITIES

Working knowledge of insurance verification processes, medical benefits, and prior authorization workflows preferred Familiarity with oncology treatment terminology, infusion therapies, and related clinical documentation preferred. Proficiency in electronic medical records (EMR) systems and basic understanding of revenue cycle operations preferred.

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