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Infusion Prior Authorization Jobs (NOW HIRING)

BJC HealthCare

Prior Authorization Rep Role

Saint Louis, MO

$38K - $53K/yr

Sunset Hills Infusion location that will help will verifying insurance, obtaining authorizations ... Prefer Epic and Prior Auth experience Overview Preferred Qualifications Role Purpose This role is ...

BJC HealthCare

Prior Authorization Rep Role

Saint Louis, MO · On-site

$17.75 - $25.56/hr

Sunset Hills Infusion location that will help will verifying insurance, obtaining authorizations ... Prefer Epic and Prior Auth experience Overview Preferred Qualifications Role Purpose This role is ...

Summit Medical Center

Infusion Nurse - PRN

Casper, WY · On-site

$35.75 - $47.50/hr

Prior Authorizations & Care Coordination * Complete, submit, and track prior authorizations for infusion medications, imaging, labs, or associated treatments. * Coordinate with insurance companies ...

BJC

Prior Authorization Rep Role

Saint Louis, MO

$38K - $53K/yr

Prior Authorization Representative BJC is looking to hire a Prior Authorization Rep for their Sunset Hills Infusion Location located off Geyer RD. The role involves verifying insurance, obtaining ...

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Infusion Prior Authorization information

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$11

$45

$82

How much do infusion prior authorization jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for infusion prior authorization in the United States is $45.96, according to ZipRecruiter salary data. Most workers in this role earn between $36.30 and $50.24 per hour, depending on experience, location, and employer.

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.

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 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.
More about Infusion Prior Authorization jobs
What cities are hiring for Infusion Prior Authorization jobs? Cities with the most Infusion Prior Authorization job openings:
What states have the most Infusion Prior Authorization jobs? States with the most job openings for Infusion Prior Authorization jobs include:
What job categories do people searching Infusion Prior Authorization jobs look for? The top searched job categories for Infusion Prior Authorization jobs are:
Infusion Prior Authorization jobs near you
Infographic showing various Infusion Prior Authorization job openings in the United States as of May 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 89% In-person, and 11% Hybrid job distribution, with an average salary of $95,606 per year, or $46 per hour.

Prior Authorization Specialist / Insurance Verification Coordinator

Prosperity Placement Solutions

Columbia, SC

$23 - $26/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

Prior Authorization Specialist / Insurance Verification Coordinator

Job Details

  • Pay: $23.00 - $26.00 an hour
  • Job Type: Full-time
  • Schedule: Monday to Friday, 8:00 AM – 5:00 PM (No weekends)
  • Benefits: Medical, Dental, Vision, 401(k), PTO, Tuition Assistance (Full Benefits Package)

About Us

We provide comprehensive ambulatory and home-based infusion services to both acute and chronically ill patients. Our centers care for people by providing patients and their families with a convenient, affordable, and safe place to receive infusion treatments.

We believe in creating a healthcare experience that goes beyond just a job. We are a connected group of caretakers who work together to restore health and hope to our patients. For our employees, this means a culture of belonging, mutual respect, empathy, and continuous collaboration.

Role Overview (As a Patient Access Navigator)

We are seeking an Insurance Case Manager / Prior Authorization Specialist to function as a vital bridge between our clinical team, intake coordinators, and insurance payers. In this role, you aren't just processing paperwork—you are a Patient Access Navigator, ensuring patients get timely access to life-changing infusion therapies by accurately verifying health benefits and securing critical authorizations.

What You'll Do (Essential Functions)

  • Verify Benefits: Utilize web portals and phone outreach to verify comprehensive insurance benefits.
  • Secure Authorizations: Review payer medical policies to determine medical necessity based on guidelines and FDA indications; manage the prior authorization and reauthorization process.
  • Ensure Data Integrity: Obtain and review patient data, signed written orders (SWO), and letters of medical necessity (LMN) from referring physician offices.
  • Collaborate: Partner closely with Intake Coordinators, Nurse Managers, and the Reimbursement team to ensure smooth patient onboarding and high operational standards.
  • Communicate & Document: Complete insurance verification forms, scan documents into electronic medical records, and provide clear coverage summaries to the team.
  • Financial Coordination: Coordinate first payments and payment plans for patients when necessary.
  • Support: Participate in an on-call rotation for after-hours and holidays as needed.

Qualifications & Skills

  • Education: High School Diploma or Equivalent (Required).
  • Experience: 1+ years of experience managing health insurance benefit verifications and prior authorizations (Required). Specialty medication or infusion experience is a plus.
  • Software: Proficiency in MS Office (Outlook, Word, Excel) and electronic medical records.
  • Attributes: Ability to stay calm, organized, and focused in an ambiguous, fast-paced environment. Strong teamwork and relationship-building skills.

Full Benefits Package

  • Comprehensive Medical, Dental, and Vision Insurance
  • Company-Paid Life Insurance + Voluntary Life & Disability
  • Flexible Spending Accounts (FSA) & Health Savings Account (HSA)
  • 401(k) Retirement Plan
  • Paid Time Off (PTO) + 8 Paid Company Holidays
  • Tuition Assistance & Employee Referral Program
  • Employee Assistance Program (EAP) & Employee Discounts
  • Ramsey SmartDollar Financial Wellness Program

Physical Demands

  • Prolonged periods of sitting, reading, and keyboarding/computer vision.
  • Frequent standing, walking, bending, twisting, talking, and hearing.
  • Occasionally lifting and/or moving up to 25 pounds.

Our Commitment to Patient Advocacy

At our core, we believe that patient advocacy is at the heart of everything we do, regardless of our roles within the organization. Each member of our team is dedicated to putting the needs and well-being of our patients first. Whether we're working directly with patients or supporting them behind the scenes, our commitment to being a compassionate advocate is paramount.

We understand that every interaction, every decision, and every effort contributes to the quality of care our patients receive. Together, we strive to ensure that every individual feels heard, supported, and empowered throughout their healthcare journey. This dedication to patient-centered care is what creates our standard of excellence that defines us and enriches the lives of those we serve.

Apply Today

Take the next step in your healthcare career and join a team dedicated to delivering exceptional infusion care!

To apply or for immediate consideration, please contact Brian Harris Email: Brian@prosperityplacement.com Phone: 941-999-4291