Pharmacy Prior Authorization Coordinator Position Available In Aiken, South Carolina
Tallo's Job Summary: The Pharmacy Prior Authorization Coordinator position in North Augusta, South Carolina offers a starting salary of $22 per hour, with benefits included. Responsibilities include managing new patient intake, securing insurance approvals for home infusion therapies, and acting as a liaison between patients, healthcare providers, and insurers. Qualifications include a high school diploma, 2 years of healthcare experience, and proficiency in EHR and Microsoft Office Suite.
Job Description
Pharmacy Prior Authorization Coordinator
Healthcare
North Augusta, South Carolina
Direct Hire
Apr 25, 2025
Our client is a network of specialized infusion pharmacies providing home and in-clinic infusion therapy for patients with complex medical conditions. They focus on personalized care, offering treatments like IV antibiotics, nutrition support, and biologic therapies while working closely with healthcare providers to ensure quality and convenience.
Compensation:
Starting at $22 per hour (negotiable based on experience); benefits package included.
Job Summary:
The Prior Authorization and Intake Specialist is responsible for managing the intake process for new patients and securing insurance approvals for prescribed home infusion therapies. This position ensures timely and accurate processing of patient information, acts as a liaison among all involved parties, and supports a smooth onboarding experience for patients receiving infusion services.
Job Responsibilities:
Coordinate new patient intake, including collecting medical records, verifying insurance benefits, and confirming all documentation is complete.
Submit and follow up on prior authorization requests with insurance companies.
Resolve authorization denials and delays by communicating with insurance providers and healthcare teams.
Document all communications and actions in accordance with company policies and regulatory standards.
Act as the central point of contact between patients, healthcare providers, and insurers to resolve any issues.
Identify and suggest improvements to the intake and authorization process for increased efficiency.
Qualifications:
Education:
High school diploma or equivalent required; associate’s or bachelor’s degree in healthcare administration, nursing, or a related field preferred.
Experience:
Minimum of 2 years in a healthcare setting, preferably in prior authorization, patient intake, or medical billing.
Skills:
Excellent written and verbal communication
Strong attention to detail and organizational skills
Proficiency with electronic health records (EHR) and Microsoft Office Suite
Knowledge:
Understanding of insurance verification, prior authorization procedures, and medical terminology; familiarity with home infusion services is a plus.
