(Remote – U.S.)
🧾 About the Role
WVU Medicine is hiring a full-time Insurance Authorization Specialist III to handle infusion and injection pre-authorizations. This remote role plays a critical part in securing timely approvals, ensuring financial clearance, and protecting the patient experience. You’ll collaborate closely with clinical and pharmacy teams to navigate documentation, coding, and payer requirements.
✅ Position Highlights
• Pay: Not listed
• Schedule: Full-Time (Day shift)
• Location: Remote (U.S.)
• Employment Type: Non-Exempt
• Department: Hospital Authorization Unit
📋 What You’ll Own
• Obtain prior authorizations for elective infusions and injections
• Review clinical notes and support approval or appeal processes
• Submit and follow up on authorizations via portals or phone
• Act as a liaison between providers, pharmacists, and insurance payers
• Interpret and verify CPT/ICD-10 codes and insurance policies
• Manage Epic work queues, in-baskets, and Outlook communication
• Handle peer-to-peer reviews, denials, and retro authorizations
• Submit inpatient chemo admissions and observations for approval
• Attend team meetings and monthly check-ins
🎯 Must-Have Traits
• High school diploma + 2 years of medical office or insurance experience
OR Associate’s degree + 1 year of relevant experience
• Proficiency in medical terminology, ICD-10, CPT coding, and insurance protocols
• Strong communication, organizational, and multitasking skills
• Proficient in Microsoft Office and comfortable with fast-paced workflows
• Minimum 25 WPM typing speed
💻 Remote Requirements
• Reliable internet, computer, and phone
• Ability to sit for extended periods
• Comfortable navigating Epic, payer portals, fax software, and productivity tools
💡 Why It’s a Win for Remote Job Seekers
• 100% remote with stable day shift
• Supportive team culture with structured onboarding
• Opportunity to grow within one of the nation’s largest academic health systems
• Clear responsibilities and meaningful behind-the-scenes impact
✍️ Call to Action
If you’re experienced in healthcare authorizations, fluent in payer processes, and thrive in fast-paced environments—apply now and join WVU Medicine’s remote authorization team.