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Infusion Prior Authorization Jobs in Florida (NOW HIRING)

MemoryWorkx Intake Coordinator

Tampa, FL ยท On-site

$17 - $23.25/hr

Support documentation of insurance verification and prior authorization status as needed to prevent delays in MRI clearance or infusion scheduling. * Serve as a foundational point of exposure to ...

New

Billing Specialist

Boca Raton, FL ยท On-site +1

$18.25 - $24.75/hr

Verify all required documentation, authorizations, and charges are present prior to claim submission. * Prepare and submit professional, facility, infusion, and pharmacy claims to payers. * Ensure ...

Billing Specialist

Boca Raton, FL ยท Remote

$18.25 - $24.75/hr

Verify all required documentation, authorizations, and charges are present prior to claim submission. * Prepare and submit professional, facility, infusion, and pharmacy claims to payers. * Ensure ...

Intake Specialist

Boca Raton, FL ยท On-site +1

$16.75 - $22.50/hr

Initiate benefits investigation for pharmacy and infusion services * Identify payer requirements, coverage limitations, and prior authorization needs * Communicate findings to internal teams and ...

Intake Specialist

Boca Raton, FL ยท Remote

$16.75 - $22.50/hr

Initiate benefits investigation for pharmacy and infusion services * Identify payer requirements, coverage limitations, and prior authorization needs * Communicate findings to internal teams and ...

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Infusion Prior Authorization information

What is an infusion prior authorization specialist?

An Infusion Prior Authorization specialist is a healthcare professional responsible for obtaining approval from insurance companies for patients to receive infusion therapies. They review medical records, collaborate with providers, and ensure all necessary documentation is submitted to meet insurance requirements. Their work helps patients access important treatments while minimizing delays and out-of-pocket costs. They also communicate with both patients and insurance representatives to resolve any issues related to coverage or denials.

What are the typical challenges faced in an infusion prior authorization role, and how can they be managed?

Professionals in Infusion Prior Authorization often encounter challenges such as navigating complex insurance requirements, managing high volumes of requests, and ensuring timely approvals to prevent delays in patient care. Staying organized, maintaining clear communication with providers and payers, and keeping up-to-date on changing insurance policies can help address these challenges. Additionally, close collaboration with clinical teams and ongoing training in authorization systems are key to efficiently managing the workload and supporting positive patient outcomes.

What are the key skills and qualifications needed to thrive as an infusion prior authorization specialist, and why are they important?

To excel as an Infusion Prior Authorization Specialist, you need a thorough understanding of medical terminology, insurance policies, and healthcare regulations, often supported by a background in healthcare administration or billing. Familiarity with prior authorization software, electronic health records (EHR), and payer portals is typically required. Strong attention to detail, organizational skills, and effective communication are essential soft skills for navigating complex documentation and coordinating with providers and insurers. These competencies ensure timely approvals, reduce delays in patient care, and help healthcare organizations maintain compliance and reimbursement efficiency.

What is the difference between Infusion Prior Authorization vs Pharmacist?

AspectInfusion Prior AuthorizationPharmacist
CredentialsTypically requires healthcare licensing, certification in infusion therapyRequires pharmacy degree, licensure, and certification
Work EnvironmentHospitals, clinics, infusion centersPharmacies, hospitals, healthcare facilities
Industry UsageInsurance approval process for infusion treatmentsMedication dispensing, patient counseling, medication management

Infusion Prior Authorization involves obtaining insurance approval for infusion therapies, focusing on approval processes. Pharmacists dispense medications and provide patient counseling. While both roles require healthcare credentials, infusion prior authorization specialists focus on insurance and approval procedures, whereas pharmacists handle medication management and dispensing.

How do I become an infusion prior authorization specialist?

To become an infusion prior authorization specialist, candidates typically need a high school diploma or equivalent, along with knowledge of medical billing, insurance processes, and prior authorization procedures. Relevant skills include attention to detail, communication, and familiarity with electronic health record (EHR) systems; some roles may require certification in medical billing or coding. On-the-job training is common, and experience in healthcare or insurance can improve job prospects.

Is infusion prior authorization a stressful job?

Infusion prior authorization is a role that involves reviewing medical documentation and coordinating with healthcare providers to approve infusion treatments. The job can be stressful due to tight deadlines, high accuracy requirements, and the need to manage complex insurance policies. Strong organizational skills and attention to detail are important to succeed in this position.

What cities in Florida are hiring for Infusion Prior Authorization jobs?

Cities in Florida with the most Infusion Prior Authorization job openings:

Infographic showing various Infusion Prior Authorization job openings in Florida as of August 2026, with employment types broken down into 94% Full Time, and 6% Contract. Highlights an 87% In-person, and 13% Remote job distribution.

MemoryWorkx Intake Coordinator

Tampa, FL โ€ข On-site

Sage Infusion
Health Care and Social Assistanceย โ€ขย 11 - 50 employees

$17 - $23.25/hr

Full-time

Posted 3 days ago

New


Job description

The MemoryWorkx Intake Coordinator supports the operational continuity of Sage Infusion's Memoryworkx program by managing appointment rescheduling for patients requiring outstanding MRI clearance, maintaining the neurology referral contact directory, and conducting structured reviews of weekly cancellation and archive reports. This role serves as a critical coordination point between referring neurology practices, internal clinical staff, and patients or caregivers enrolled in Leqembi and Kisunla therapy.

This role may eventually develop into Benefits Investigation and Cost Estimate Training as related to MemoryWorkx patients. Upon completion of training, will support the preparation of individualized cost estimates, incorporating insurance benefit information, Medicare coverage requirements, and applicable co-pay or assistance program details.
  • Works under the direction of the Memory Care Coordinator or clinical reviewer during the training period prior to assuming independent cost estimate responsibilities.
RequirementsKey Responsibilities:MRI Hold Rescheduling
  • Identify all Memoryworkx patients flagged with an MRI hold or missing imaging requirement through daily report review.
  • Contact patients or designated caregivers to communicate the hold status and coordinate rescheduling once MRI clearance is received and documented.
  • Collaborate with the clinical team to confirm MRI results have been reviewed and a provider has cleared the patient to resume infusion prior to booking.
  • Document all rescheduling activity and status updates in WeInfuse, including date of outreach, caregiver contact name, and expected MRI completion timeline.
  • Escalate unresolved MRI holds exceeding defined thresholds to the Lead Memoryworkx Nurse.
Neurology Contact List Maintenance
  • Own and maintain the neurology referral contact directory, including practice name, ordering physician(s), primary scheduling contact, phone and fax numbers, and preferred communication method via shared Google spreadsheet.
  • Update contact records promptly following any changes identified during outreach or provider communications.
  • Ensure the contact list is accessible to relevant team members and reviewed for accuracy on a periodic basis.
  • Serve as the primary point of outreach to neurology offices when clinical documentation, updated orders, or imaging records are needed to advance a patient's care.

Financial & Benefits Coordination

  • Coordinate with the Finance team to support co-pay assistance program enrollment and communicate pricing information for patients with out-of-pocket costs related to MemoryWorkx therapies.
  • Support documentation of insurance verification and prior authorization status as needed to prevent delays in MRI clearance or infusion scheduling.
  • Serve as a foundational point of exposure to benefits and cost-estimate workflows in preparation for future Benefits Investigation and Cost Estimate Training.
Weekly Report Review
  • Review weekly cancellation and archive reports for anti-amyloid therapy patients, categorizing reasons by clinical concern (e.g., ARIA hold, provider stop order, MRI delay, hospice transition) versus operational/administrative cause (e.g., patient-initiated, scheduling conflict, lost to follow-up).
  • Flag clinically significant cancellations or archive designations for clinical team review in accordance with established protocols.
  • Track rescheduling outcomes for patients identified in prior weeks to ensure no patient is lost to follow-up without documented resolution.

Communication

  • Assist Clinical Nurse Coordinators with patient and provider outreach after unsuccessful contact attempts, and determine when Account Executive support is needed.

Quality & Reliability

  • Demonstrate reliability and consistent follow-through on all assigned tasks, ensuring outreach, documentation, and escalations meet program quality standards.
  • Communicate clearly and professionally with patients, caregivers, and referring providers, maintaining a warm and helpful tone consistent with Sage Infusion's patient care standards.
  • Take initiative in identifying process gaps (e.g., recurring MRI hold delays, neurology contact issues) and bring suggestions to the Director of Intake Services through appropriate channels.

Qualifications/Certifications:

  • Preferred: Associate's degree
  • Minimum of 2 years of experience in healthcare, preferably in specialty infusion, neurology, or a related clinical coordination setting
  • Familiarity with WeInfuse or similar clinical documentation/scheduling platforms preferred
  • Working knowledge of insurance verification, benefits, and prior authorization processes
  • Comfort with clinical terminology relevant to anti-amyloid therapy (e.g., ARIA holds, MRI clearance protocols) or willingness to build this knowledge quickly
  • Strong verbal and written communication skills, particularly for coordinating across neurology practices, clinical staff, and caregivers
  • Ability to prioritize competing outreach and documentation tasks while meeting escalation deadlines
  • Basic computer proficiency, including Microsoft Office and Google Sheets (for neurology contact list maintenance)
  • Preferred: Bilingual Spanish
 

Background Screening Requirement:This position requires background screening through the Care Provider Background Screening Clearinghouse. For more information, visit: https://info.flclearinghouse.com

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