Prior Authorization Coordinator

painpointhealth; United States; Remote; USD 26,000 - 29,000; Full time

Benefits offered by this job

Health, Dental & Vision Insurance

401(k) Retirement Plan

Remote Stipend

Paid Time Off

Job summary

DxTx Pain & Spine is hiring a Prior Authorization Coordinator for a remote, full-time role. You will manage the entire authorization process for interventional pain management procedures, coordinating with practices, payors, and patients to secure approvals.

Requirements include 1+ year in prior authorization within pain management, HIPAA knowledge, and proficiency with Microsoft Office. The position emphasizes accuracy, collaboration, and patient-centered care.

Qualifications

• High School Diploma or GED is required.
• At least 1 year of prior authorization and clinical setting experience is required.
• Experience working within Pain Management is required.
• Proficient in Microsoft Office Suite.
• Knowledge of HIPAA privacy and security requirements.
• Strong analytical and problem-solving abilities.
• Excellent organizational skills and attention to detail.
• Familiarity with payor portals and medical policy navigation.
• Must be able to sit for extended periods, communicate clearly, perform computer-based tasks, and lift up to 25 lbs.

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 Payor.
• Submit prior and retro authorization requests to payors promptly and accurately.
• Document account activity and update patient and claim information for efficient processing.
• Identify trends or issues delaying authorization or claims processing.
• Communicate with practices, vendors, insurers, patients, and management to secure approvals.
• Provide high levels of customer service to internal teams.
• Serve as a backup to the Contact Center during peak scheduling times.

Skills

Prior authorization experience

Pain management experience

Microsoft Office Suite

HIPAA knowledge

Medical terminology

Strong communication

Organizational skills

Education

High School Diploma or GED

Tools

Payor portals

Job description

Prior Authorization Coordinator

Full-Time | $19-21/hour | Monday–Friday | 8:00 AM–4:30 PM CST
Location: Remote

About DxTx Pain & Spine

At DxTx Pain & Spine, we’re redefining how pain and spine practices thrive. As a physician-aligned partner organization, we empower independent, award-winning physicians across the country by combining clinical autonomy with strong operational support.

Our model preserves each practice’s unique identity and decision-making freedom, while providing scalable resources in compliance, finance, ASC management, and marketing. Guided by our patient-first philosophy, we diagnose and treat pain at its source using non-surgical and minimally invasive options—reserving surgery as a last resort.

The Opportunity

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.

What You’ll Do:

Authorization Management & Compliance

• 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.

Collaboration & Communication

• 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.

You’ll Thrive in This Role If You…

• Excel at organization, accuracy, and time management.
• Communicate clearly and professionally—both verbally and in writing.
• Are a proactive problem-solver who enjoys navigating complex processes.
• Value teamwork, adaptability, and supporting patient-centered care.
• Are comfortable working remotely in a fast-paced, detail-driven environment.

Qualifications

• 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 navigationMust 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.

What We Offer

• Health, Dental & Vision Insurance
• Accident and Life/AD&D Insurance
• Short & Long-Term Disability
• Emergency Travel Assistance Program
• ID-theft Protection Services
• LifeMart Employee Discount Program
• Health Savings Account (HSA)
• Health Management Tools
• Paid Time Off (PTO)
• Company Paid Holidays
• Paternal Leave
• 401(k) Retirement Plan
• Remote Stipend
• Travel Reimbursement
• Continuing Education Reimbursement
• Bonusly (employee recognition platform)
• DailyPay (on-demand pay access)

Why You’ll Love Working at DxTx Pain & Spine

At DxTx, you’ll join a supportive, mission-driven team that values transparency, innovation, and growth. You’ll have the opportunity to contribute to a national network that’s transforming pain care—while enjoying the flexibility of remote work and the satisfaction of meaningful impact.

An Equal Opportunity Employer

We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.