Senior Coordinator, Prior Authorization

Job Listing ID:

4479430

Job Title:

Senior Coordinator, Prior Authorization Application Deadline:

Open Until Filled

Job Location:

Salem

Date Posted:

04/24/2026

Hours Worked Per Week:

Not Provided Shift:

Not Provided Duration of Job:

Either Full or Part Time, more than 6 months You may contact this employer directly. (Obtain the contact information to print or add to your jobs.)

Job Summary:

Fully Remote:

Monday - Friday 8:30am Eastern - 5:00pm Eastern Time What Customer Service Operations contributes to Cardinal Health Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution. Job Summary The Senior Coordinator, Prior Authorization is responsible for obtaining, documenting, and tracking payer approvals for durable medical equipment (DME) orders, including diabetes devices and other clinically prescribed supply categories (e.g., ostomy, urological, wound care). This role submits prior authorization requests through payer portals or via fax, and conducts phone-based follow-ups with payers and provider offices to secure timely approvals. The Senior Coordinator proactively manages upcoming expirations to prevent order delays, meets daily productivity targets, and adheres to quality, compliance, and HIPAA standards. Responsibilities Review assigned accounts to determine prior authorization requirements by payer and product category. Prepare and submit complete prior auth packets via payer portals, third-party platforms, or fax (including DWO/CMN, prescriptions, clinical notes, and other required documentation). Conduct phone-based follow-ups with payers (and provider offices when needed) to confirm receipt, resolve issues, and obtain approval or referral numbers. Log approvals accurately so orders can be released and shipped; correct rejected/pending decisions by addressing missing documentation or criteria. Monitor upcoming prior auth expirations and initiate re-authorization early to prevent delays on new and reorder supply shipments. Prioritize work to give orders a "leg up" based on aging, SLA, and payer requirements. Capture all actions, decisions, and documentation in the appropriate systems with complete, audit-ready notes. Ensure secure handling of PHI and maintain full compliance with HIPAA, regulatory requirements, and company policy. Promptly report suspected non-compliance or policy violations and attend required Compliance/HIPAA trainings. Achieve daily throughput goals (accounts/records per day) across mixed work types (portal/web, fax, phone). Meet standardized quality metrics through accurate documentation and adherence to process; participate in supervisor live-monitoring, QA reviews, and 1:1 coaching. Share payer/process knowledge with teammates and support a strong team culture. Adapt to changes in payer criteria, portals, and internal workflows; offer feedback to improve allocation, templates, and documentation standards. Perform additional responsibilities or special projects as assigned. Qualifications High School diploma, GED or equivalent work experience, preferred 3-6 years of experience in healthcare payer-facing work such as prior authorization, insurance verification, medical documentation, revenue cycle, or claims, preferred Proven ability to meet daily productivity targets and quality standards in a queue-based environment preferred. Strong phone skills and professional communication with payers and provider offices; comfortable with sustained phone work preferred. High attention to detail and accuracy when compiling documentation (DWO/CMN, prescriptions, clinical notes) preferred.

Job Classification:

First-Line Supervisors of Office and Administrative Support Workers Access our statewide or regional occupation report for more information about wages, employment outlooks, skills, training programs, related occupations, and more. Compensation

Salary:

Not Provided Job Requirements

Experience Required:

 See Job Summary

Education Required:

None

Minimum Age:

N/A Gender:

N/A