Job Opportunities API

Join IVX Health as a Prior Authorization Coordinator! Join a team that’s redefining infusion care and creating exceptional patient experiences. Are you experienced in navigating the complexities of prior authorizations for biologics or oncology therapies? IVX Health is looking for a driven and detail-oriented Prior Authorization Coordinator to support our rapidly growing team. In this role, you’ll have the opportunity to make a meaningful impact by facilitating the approval process for life-changing specialty treatments. Our HQ is based just outside of Nashville in Brentwood, TN , but we are seeking candidates nationwide with the option to work fully remote, hybrid, or in-office! Location and Schedule at a Glance Work Options : Fully Remote, Hybrid, or In-office (Brentwood, TN) Schedule : Monday - Friday, standard business hours (no nights, weekends, or holidays) What You Will Do Review and Process Prior Authorizations – Thoroughly review Prior Authorization orders and ensure timely and accurate completion. Manage Clinical Documentation – Obtain and assess necessary clinical information such as medical history, diagnosis, and lab reports to support Prior Authorization submissions. Submit and Track Prior Authorizations – Follow criteria for medication approvals and accurately submit requests to insurance providers. Resolve Authorization Issues – Investigate and resolve outstanding medical documentation concerns and assist in resolving denied claims. Support Patients and Providers – Communicate effectively with patients, clinical staff, and insurance representatives regarding the Prior Authorization process. Ensure Compliance and Process Improvement – Stay up to date with evolving payer policies and identify ways to enhance workflow efficiency. Perform Additional Duties – Take on other responsibilities as assigned to support patient care and operational objectives. What We Are Looking For We are seeking ambitious, self-motivated, and reliable professionals who take ownership of their work and excel in both remote and office settings. Success in this role requires initiative, accountability, and a commitment to getting the job done. If you thrive in a structured yet independent work environment, communicate effectively, and hold yourself accountable, you will excel here. We value high performers who are dependable, communicative, and committed to delivering results. Prior Authorization Expertise is Essential – You must have hands-on experience with prior authorizations for biologics, oncology, or specialty therapies, along with a strong understanding of payer guidelines. Exceptional Communication Skills – This role involves frequent interaction with clinical teams, insurance companies, and patients. You must be able to communicate clearly, professionally, and persistently follow up when needed. Self-Motivated and Accountable – If you work remotely, you are expected to be present, engaged, and consistently perform at a high level without direct supervision. Tech-Savvy and Detail-Oriented – Proficiency in Electronic Health Records (EHR) systems, payer portals, and Microsoft Office Suite is required. High School Diploma or GED required. Associate’s degree in Medical Office Management, Medical Insurance, or Medical Coding is a plus. Minimum of three (3) years of experience in hospital or clinical service access, physician office scheduling, or a similar role. Certified Medical Assistant (CMA) is a plus. Experience with prior authorizations for biologics, oncology, or specialty therapies preferred. Why Join IVX Health Make a Meaningful Impact – Play a critical role in securing approvals for life-changing specialty treatments that directly improve patients' lives. Grow Your Career – IVX Health offers a clear career path f