Prior Authorization Coordinator

PainPoint Health

5d•$19 - $21•Remote

About The Position

As a Prior Authorization Coordinator, you’ll play a vital role in ensuring patients receive timely approval for the care they need. You’ll manage the entire authorization process for interventional pain management procedures—supporting both office-based and advanced outpatient treatments. This role is ideal for someone detail-oriented, collaborative, and dedicated to process accuracy and patient impact.

Requirements

High School Diploma or GED (required)
Minimum of 1 year of prior authorization and clinical setting experience (required)
Experience working within Pain Management required
Proficient in Microsoft Office Suite
Strong analytical and problem-solving abilities
Excellent organizational skills and attention to detail
Knowledge of HIPAA privacy and security requirements
Basic understanding of medical terminology
Familiarity with payor portals and medical policy navigation
Must be able to sit for extended periods, communicate clearly, perform computer-based tasks, occasionally lift up to 25 lbs, and maintain close vision, depth perception, and focus adjustment.

Responsibilities

Monitor advanced procedure trackers for each practice to identify authorization opportunities.
Collect all required documentation for prior authorizations.
Review medical necessity guidelines for procedures by Paycor.
Accurately and promptly submit prior and retro authorization requests to payors.
Document account activity, updating patient and claim information to ensure efficient claim processing.
Identify trends or issues that delay authorization or claims processing.
Communicate with practices, vendors, insurance companies, patients, and management to secure necessary approvals.
Provide the highest level of customer service to internal teams.
Serve as a backup to the Contact Center Team during peak scheduling call times.
Perform other related duties as assigned to support smooth operations and patient care continuity.