AAICA is looking for a highly-reliable, fast-paced, laser-focused, and detail-driven team-player who enjoys juggling, thrives under pressure, and who settles for nothing less than perfection, allwhile remaining friendly, and approachable to join our team in the role of Pre-Authorization Specialist.

Position Overview:

The Pre‑Authorization Specialist (PAS) is responsible for coordinating, submitting, and tracking prior authorizations for infusion therapies and biologic medications used in the treatment of allergy, asthma, and immunologic conditions. This role ensures timely approvals to support uninterrupted patient care and collaborates closely with clinical staff, providers, payers, and patients. The PAS plays a critical role in streamlining the treatment pathway and preventing administrative delays.

Key Responsibilities

Prepare, submit, and manage prior authorizations for infusion drugs, biologic medications, and other specialty therapies.
Review patient benefits and insurance requirements to determine authorization needs for medications and infusion services.
Clearly & concisely communicate insurance and patient assistance program benefits and eligibility to patients.
Communicate with insurance companies & patient assistance programs to clarify requirements, provide additional clinical documentation, and resolve discrepancies.
Coordinate with billing team to streamline patient assistance program claim submission & payment.
Track authorization statuses, document outcomes, and ensure timely follow‑up to avoid delays in treatment.
Coordinate with providers, infusion nurses, and pharmacy partners to ensure all clinical documentation is complete and accurate for submissions.
Notify clinical teams of approval outcomes and assist in scheduling infusion appointments once authorization is secured.
Maintain current knowledge of payer policies, formularies, step‑therapy requirements, and appeal processes.
Initiate and support appeals for denied authorizations, including drafting appeal letters and gathering necessary clinical justification.
Provide patients with transparent updates regarding the status of their medication approvals and expected timelines.
Ensure compliance with HIPAA regulations and clinic protocols when handling patient information.
Other duties as assigned.

Requirements:

Prior experience with medical prior authorizations is required.
Strong understanding of commercial, Medicare, and Medicaid authorization processes.
Excellent communication skills for interacting with insurers, providers, and patients.
High attention to detail, accuracy, and documentation quality.
Ability to manage multiple authorizations simultaneously and maintain timely follow‑through.
Familiarity with electronic health records (EHR) and payer portals.
Must be willing to receive and or provide proof annual influenza vaccine.
Experience working with Electronic Medical Records systems (or other similar complex database systems).

Why Allergy, Asthma and Immunology Center of Alaska?

3-Day Weekends!
Nights, Weekends & Holidays OFF!!
An abundance of opportunities for growth and professional development.
Supportive, team-driven culture.
Competitive benefits and Compensation plan.

Preferred Qualifications

Prior experience with infusion drug and biologic medication authorizations.
Prior experience with patient assistance program eligibility, enrollment, & claim submission.
Background in specialty clinics such as allergy/immunology, rheumatology, gastroenterology, pulmonary, or infusion centers.
Knowledge of biologics commonly used in allergy, asthma, and immunology (e.g., omalizumab, dupilumab, tezepelumab, benralizumab, mepolizumab).

Fringe Benefits:

Lunch is usually provided multiple times per week.
Covered parking (no scraping your windshield to go home!).
Cafe & Cafeteria on campus.
Best office view in Anchorage.

To apply, please:

Submit your application online through Indeed.
Take our Applicant Survey at:
https://aaicak.com/ApplicantSurvey
- Please select "Patient Access Coordinator"

Job Type: Full-time

Pay: $27.00 - $35.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Health insurance
Life insurance
Paid time off
Retirement plan
Vision insurance

Application Question(s):

Are you willing to receive the annual influenza vaccine as a condition of employment?

Ability to Commute:

Anchorage, AK 99508 (Required)

Ability to Relocate:

Anchorage, AK 99508: Relocate before starting work (Required)

Work Location: In person

Allergy, Asthma & Immunology Center of Alaska jobs

Pre-Authorization Specialist