Prior Authorization Specialist

Resolve Pain Solutions • New Orleans, LA

1d • Onsite

About The Position

Louisiana Pain Specialists is looking for a Prior Authorization Specialist to join our pain management team in New Orleans. This full-time position is responsible for obtaining and managing prior authorizations for interventional pain procedures, imaging, and medications, ensuring timely approval under provider direction and insurance requirements.

Requirements

• Minimum of 1 year of prior authorization experience required (pain management or specialty care preferred)
• High school diploma or equivalent
• Strong understanding of medical terminology, CPT/ICD-10 coding, and insurance authorization processes related to interventional pain procedures
• Excellent communication and organizational skills
• Ability to manage multiple authorizations and meet deadlines in a fast-paced setting
• Experience with EMR systems required
• Ability to work effectively in a team while maintaining strict confidentiality

Nice To Haves

• pain management or specialty care preferred

Responsibilities

• Process prior authorizations – Submit, track, and follow up on prior authorization requests for pain management services including injections (e.g., epidural steroid injections, nerve blocks), radiofrequency ablations, spinal procedures, imaging (MRI/CT), and specialty medications. Ensure all clinical documentation meets payer guidelines.
• Insurance verification and coordination – Verify patient benefits, coverage, and eligibility for pain management services. Coordinate with providers and clinical staff to collect necessary documentation such as office notes, imaging reports, and treatment plans.
• Maintain accurate records – Document all authorization activity, approvals, denials, and payer communication in the electronic medical record (EMR). Monitor authorization timelines to ensure procedures are not delayed.
• Resolve authorization issues – Follow up on pending or denied cases. Assist with appeals by gathering supporting documentation and working with providers and insurance representatives to secure approvals.
• Other duties: – Answer phones, communicate with patients regarding authorization status and scheduling readiness, and assist with front-office or administrative duties as needed. Maintain professionalism and support a fast-paced pain management practice environment.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED