Medical Authorization Specialist

Metro Vein Centers•Detroit, MI

2h•$20•Remote

About The Position

Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our board-certified physicians and expert staff are on a mission to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs. With over 60 clinics across 7 states, and still growing, we’re building the future of vein care—delivering compassionate, results-driven care in a modern, patient-first environment. We proudly maintain a Net Promoter Score (NPS) of 93, the highest patient satisfaction in the industry. We are seeking a Medical Authorization Specialist to support our back-end revenue cycle operations. This role focuses on obtaining timely prior authorizations for surgical procedures and ensuring proper documentation is in place to avoid delays in patient care. You’ll work closely with insurance portals (especially Availity), collaborate with clinical teams, and enter accurate data into our EMR (Centricity). The ideal candidate is detail-oriented, organized, and has prior experience with medical necessity documentation, insurance guidelines, and surgical pre-certifications.

Requirements

3-4+ years of prior authorization experience in a medical or surgical setting
Strong familiarity with insurance portals, especially Availity
Understanding of medical necessity requirements and surgical documentation
Comfort navigating EMRs and entering detailed case notes (Centricity experience is a plus)
Strong communication and collaboration skills
High school diploma or equivalent required

Nice To Haves

Centricity experience is a plus

Responsibilities

Submit and manage prior authorization requests for surgical procedures
Review patient charts and ensure medical necessity documentation meets payer requirements
Monitor and respond to insurance denials or additional documentation requests
Communicate directly with payers, clinical staff, and other departments to resolve issues
Update authorization status in the EMR (Centricity) and maintain accurate internal records
Use online insurance portals (e.g., Availity) to process and track authorizations
Support a high-volume environment while maintaining attention to detail and deadlines