The Claims Support Coordinator (Prior Authorization) is responsible for ensuring that specific workers compensation claim prescriptions are processed accurately and in a timely manner in order to increase cash flow and meet or exceed production goals. This position demands strong communication skills quality customer service heavy telephone interaction problem solving skills and strong attention to detail while working in a fast-paced team environment.

What Youll Do

• Documents all communication with insurance carriers physicians law firms account managers and patients in the approved format
• Follow all department policies and procedures to obtain authorization and pertinent information
• Review all letters and medical documents in regard to prior authorization
• Serves as a liaison between departments and outside parties to ensure that customers receive their medication in a timely manner
• Obtaining prior authorization for pending medications in states which this is required
• Faxing documents to insurance carriers physicians law firms account managers and other parties when requested
• Consistent awareness and comprehension of pre-adjudication and formulary prior authorization processes including staying up to date on all policy/procedure changes
• General understanding of prior authorizations rules and regulations in all states in which prior authorization is required
• Communicates effectively and articulates ideas verbally and in writing
• Accountable for actions and decisions demonstrated in daily tasks
• Maintains or exceeds the expected productivity and quality
• Notifies Supervisor of trends
• Perform other duties as assigned

What Youll Need to Succeed

• 1-2 years of experience of Prior Authorization Healthcare or Pharmacy billing
• Basic knowledge of medical terminology (preferred)
• Basic knowledge of workers compensation (preferred)
• Pharmacy Technician License (preferred)
• Excellent customer service skills
• Independent problem solver
• Detail oriented
• Microsoft Office Suite Knowledge (required)
• Ability to work a full-time schedule:
  • Monday-Friday 10:00am - 6:30pm

Why Youll Love Working at IWP

Our culture is built on our ICARE values: Ingenuity Collaboration Advocacy Respect and Empowerment. These values guide how we support our patients and how we support each other.

We offer:

• Monthly engagement events and larger annual celebrations (tent party summer BBQ Family Fun Day)
• Tuition reimbursement and an internal-first job posting philosophy to support career growth
• Onsite fitness center free parking and a competitive benefits package

• A positive inclusive environment where employees feel valued supported and empowered

Make a Difference with IWP

Injured Workers Pharmacy (IWP) is proud to be THE Patient Advocate Pharmacy helping injured workers around the country access their prescription medications with ease. As a specialized workers compensation home delivery pharmacy we collaborate with the legal medical and insurance communities to help injured workers return to a productive life. At IWP we believe in our service but its the people who make it a great place to work. We value our employees and strive for a culture of teambuilding open mindedness and fun. If that sounds like something youd like to be part of wed love to hear from you! Your compensation will include a competitive salary generous benefits and opportunities for growth and development.

We are dedicated to attracting and retaining top talent with competitive and fair compensation. The salary range for this role is $22 - $25/hr.

IWP is an Equal Opportunity Employer. IWP does not discriminate on the basis of race creed color religion national origin sex sexual orientation gender identity age physical or mental disability or any other basis covered by appropriate law. All employment decisions are made on the basis of qualifications merit and business need. IWP is committed to providing reasonable accommodations for qualified individuals with physical and mental disabilities in our job application procedures. If you need assistance or an accommodation due to a disability you may contact us at We will make a determination on your request for reasonable accommodation on a case-by-case basis.

Required Experience:

IC