Pain Management Authorization – Scheduling Coordinator

This is a fully remote position, open to applicants in United States.

📋 Description

• Obtain prior authorization and precertification for pain management procedures, diagnostic testing, medications when assigned, and other services requiring payer approval.

• Verify insurance benefits, eligibility, authorization requirements, and applicable payer guidelines before scheduling procedures.

• Submit clinical documentation and authorization requests to insurance providers and third-party utilization management organizations.

• Track pending authorization requests and follow up with insurance carriers until a decision is received.

• Communicate authorization requirements, denials, requests for additional information, and peer-to-peer requirements to the physician and clinical staff.

• Coordinate additional clinical documentation and assist with authorization-related denials and appeals.

• Maintain accurate records of authorizations, payer communications, and patient medical documentation.

• Monitor authorization expiration dates and ensure that procedures are scheduled within approved timelines.

• Schedule pain management procedures, follow-up appointments, and other physician services.

• Coordinate procedure dates with patients, physicians, facilities, and clinical staff.

• Provide patients with scheduling information, procedural instructions, and confirmed appointment details.

• Ensure that authorization and documentation are complete prior to scheduled procedures.

• Manage cancellations, rescheduling, and changes to the physician's procedural schedule.

• Serve as the primary administrative support for the assigned pain management physician.

• Manage the physician's administrative schedule and practice-related calendar.

• Assist with correspondence, forms, documents, phone calls, meetings, appointments, and other administrative requests.

• Facilitate communication among the physician, patients, clinical staff, facilities, referring offices, and departments.

• Maintain organized records and follow-up systems for outstanding administrative tasks.

• Monitor work queues and outstanding tasks to ensure timely completion.

• Participate in training and keep up-to-date with payer requirements and practice workflows.

• Uphold professional communication standards and perform additional assigned duties.

⛳️ Requirements

• A high school diploma or equivalent is required.

• Prior experience in a medical office is preferred.

• Experience with insurance verification, prior authorization, precertification, or medical scheduling is strongly preferred.

• Experience in pain management, orthopedic, spine, or procedural specialties is preferred.

• Familiarity with commercial insurance, Medicare, workers' compensation, and automobile insurance requirements is preferred where applicable.

• Strong computer skills and experience with electronic medical record and practice management systems are essential.

• Excellent organizational skills with the ability to manage multiple active cases and deadlines simultaneously.

• Exceptional written and verbal communication skills.

• Ability to work independently, prioritize responsibilities, and follow through on outstanding items until completion.

• Strong attention to detail and the ability to identify potential scheduling or authorization issues before they impact patient care.

• Maintain patient confidentiality and comply with HIPAA and all relevant practice policies.

🏝️ Benefits

• Comprehensive health insurance options.

• Opportunities for professional development and training.

• Flexible work schedules.

• Supportive work environment with a focus on team collaboration.