Prior Authorization Lead - Interventional Pain

California Pain; San Diego (CA); Hybrid; USD 75,000 - 80,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) with employer contribution

Paid time off and holidays

Professional development and certific.

Job summary

California Pain Consultants is seeking an Authorizations Supervisor to lead the prior authorization function across six sites, ensuring accurate and timely authorizations for interventional pain procedures. The role manages coordinators, drives process improvements, and aligns with revenue cycle goals.

The ideal candidate brings deep payer knowledge, strong team leadership, and a track record of reducing denials while maintaining high-quality documentation and compliance.

Qualifications

• Five+ years of prior authorization or revenue cycle experience in a specialty medical practice or ambulatory surgery center setting.
• Two+ years of supervisory or management experience leading an authorizations, referrals, or revenue cycle team.
• Strong working knowledge of CPT/ICD-10 coding, medical necessity criteria, and payer authorization portals (e.g., Availity, payer-specific UM platforms).
• Experience with commercial, Medicare, Medi-Cal, and workers' compensation authorization requirements in California.

Responsibilities

• Lead day-to-day operations of the authorizations department across four clinics and two surgery centers.
• Hire, train, coach, and evaluate authorization coordinators; establish standards for productivity and quality.
• Own end-to-end prior authorization process for interventional pain procedures and related surgeries.

Skills

Prior authorization

Leadership

Payer knowledge

Team management

Process improvement

Education

CPC certification

Bachelor's degree

Tools

Availity

Excel

AdvancedMD

Job description

California Pain Consultants is seeking an Authorizations Supervisor to lead the prior authorization function across six sites, ensuring accurate and timely authorizations for interventional pain procedures. The role manages coordinators, drives process improvements, and aligns with revenue cycle goals.

The ideal candidate brings deep payer knowledge, strong team leadership, and a track record of reducing denials while maintaining high-quality documentation and compliance.