Infusion Coordinator (Prior Authorizations)

Overview

The Infusion Coordinator plays a critical role in supporting the delivery of infusion therapies by coordinating insurance authorizations, scheduling, and patient communication. This position ensures that all required documentation, benefits verification, and financial clearances are completed prior to treatment. The Infusion Coordinator works closely with clinical, billing, and administrative teams to maintain an accurate and efficient infusion schedule. 

Key Responsibilities

• Receive medication packets from Patient Navigators and initiate insurance verification and benefit investigations for infusion therapies.

• Determine patient financial responsibility, identify copay assistance options, and communicate expected out-of-pocket costs to patients.

• Obtain prior authorizations for infusion medications, submit renewals as required, and document all steps in the EMR.

• Create and update chart alerts, authorization templates, and scheduling readiness indicators to ensure accurate tracking.

• Coordinate scheduling for all initial and ongoing infusion appointments, ensuring timely treatment initiation.

• Review the daily infusion schedule to confirm authorizations, balances, and insurance status for each patient.

• Scrub upcoming infusion schedules to identify potential coverage or documentation issues in advance.

• Collaborate with Billing and Revenue Cycle staff to resolve denials or pre-service issues before treatment.

• Maintain accurate and organized patient records and ensure compliance with payer and practice policies.

• Contribute to departmental goals by maintaining assigned patient caseloads and completing weekly processing targets.

• Provide exceptional service to patients and referring providers through timely communication and follow-up.

• Other duties as assigned. This job description is not designed to cover or contain a comprehensive list of activities, duties, or responsibilities that are required of the employee. They may change, or new ones may be assigned at any time with or without notice. 

Qualifications

• High school diploma or equivalent required; Associate’s degree or certification in medical office administration preferred.

• At least 2 years of experience in prior authorizations, infusion coordination, or related healthcare field.

• Comprehensive understanding of medical benefits, infusion billing, and payer requirements.

• Excellent organizational skills and attention to detail with ability to manage a high volume of cases.

• Strong communication and teamwork skills to coordinate between clinical and administrative departments.

• Proficiency in EMR systems, insurance portals, and Microsoft Office applications.