Prior Authorizations Coordinator (P/T-Temp)

Icon Health; Miami Beach (FL); Remote; USD 25,000 - 39,000; Part time

Job summary

Icon Health is seeking a Part-Time, Temporary Prior Authorizations Coordinator to support our Ortho Pass program. This role is remote, four-month assignment with potential extension, reporting to Practice Operations Manager.

You will set up workflows for insurance prior authorizations, manage referrals, verify coverage, schedule appointments, and maintain EHR records. Must have 2-3 years of prior authorization experience and bilingual Spanish; strong communication and organizational skills are

Qualifications

• Experience: 2–3 years processing insurance prior authorization referrals (Required)
• Communication: Excellent written and verbal communication; comfortable engaging patients and providers by phone and electronically.
• Organization: Strong time management and attention to detail; able to manage multiple patient cases simultaneously.
• Systems: Familiarity with EHR systems, referral management tools, and HIPAA compliance.

Responsibilities

• Set up process and workflow to obtain insurance prior authorizations (primary responsibility)
• Receive, track, and process incoming referrals from primary care providers and partner organizations.
• Process insurance authorizations for outbound referrals, including submitting documentation and managing denials or appeals.
• Verify insurance and referral information to ensure completeness, accuracy, and compliance.
• Communicate updates to referring providers and maintain clear, timely feedback loops to support continuity of care.
• Schedule patient appointments with OrthoPass clinicians, ensuring alignment between provider availability and patient needs.
• Maintain up-to-date and accurate records in the EHR and referral tracking systems.
• Partner closely with operations, clinical, and provider relations teams to ensure smooth handoffs and proactive issue resolution.
• Identify and elevate barriers to care access or workflow bottlenecks, recommending process improvements as needed.
• Support reporting and quality improvement initiatives related to referral timeliness, patient engagement, and access metrics.

Skills

Prior authorization

Insurance verification

Referral management

Spanish bilingual

Communication

Organization

HIPAA compliance

EHR familiarity

Tools

EHR systems

Referral management tools

Job description

Job Title: Prior Authorizations Coordinator
Location: Remote
Status: Part Time Temporary (4 Months) with possibility of extension
Reports To: Practice Operations Manager

Who We Are

Icon Health is a leading provider of value-based musculoskeletal (MSK) care, collaborating with payers and providers to enhance outcomes and experience for individuals. The company partners with health plans and risk-bearing providers to assume accountability for reduced total cost of care. By combining technology-enabled MSK providers with proactive care coordination and decision support services, Icon Health delivers multidisciplinary, evidence-based care.

We founded Icon Health on the conviction that every patient should be genuinely delighted with their care experience. By prioritizing patient-centered practices, ensuring clear care goals across the entire clinical team, and placing clinicians at the heart of care delivery, we aim to transform a fragmented system into one that truly serves patients. Our model uses a team-based approach to care, integrating musculoskeletal expertise and primary care to achieve better patient outcomes.

At Icon Health, we foster a culture that embraces bold thinking, rapid iteration, and practical problem-solving. We seek team members who relish challenging the status quo and thrive in vertically integrated roles—where ideas can swiftly move from concept to execution without layers of red tape. Above all, we value individuals who are eager to roll up their sleeves, tackle obstacles head-on, and create innovative solutions that improve the lives of our patients and our clinical partners.

Who You Are

We are seeking a highly organized, empathetic, and detail-oriented Prior Authorization Coordinator for a Part‑Time, Temporary Role with expertise with insurance prior authorization to support patient access and provider communication within our Ortho Pass program. You thrive in fast‑paced environments, manage multiple priorities gracefully, and communicate clearly with patients, providers, and care teams.

What You’ll Do

Referral and Authorization Management

• Set up process and workflow to obtain insurance prior authorizations (primary responsibility)
• Receive, track, and process incoming referrals from primary care providers and partner organizations.
• Process insurance authorizations for outbound referrals, including submitting documentation and managing denials or appeals.
• Verify insurance and referral information to ensure completeness, accuracy, and compliance.
• Communicate updates to referring providers and maintain clear, timely feedback loops to support continuity of care.

Scheduling & Workflow Support

• Schedule patient appointments with OrthoPass clinicians, ensuring alignment between provider availability and patient needs.
• Manage scheduling logistics for urgent or complex cases requiring additional coordination.
• Maintain up-to-date and accurate records in the EHR and referral tracking systems.

Collaboration & Communication

• Partner closely with operations, clinical, and provider relations teams to ensure smooth handoffs and proactive issue resolution.
• Identify and elevate barriers to care access or workflow bottlenecks, recommending process improvements as needed.
• Support reporting and quality improvement initiatives related to referral timeliness, patient engagement, and access metrics.

What You’ll Bring

We are always looking for new team members who will add to our company’s DNA and have a strong passion for impact. None of the following are strict requirements, but they describe qualities and skills that will help a candidate be successful in this role:

• Experience: 2–3 years processing insurance prior authorization referrals (Required)
• Communication: Excellent written and verbal communication skills; comfortable engaging patients and providers by phone and electronically.
• Organization: Strong time management and attention to detail; able to manage multiple patient cases simultaneously.
• Systems: Familiarity with EHR systems, referral management tools, and HIPAA compliance.
• Problem‑Solving: Resourceful, proactive, and comfortable resolving scheduling or documentation barriers quickly.
• Empathy: Patient‑centered approach with a calm and compassionate demeanor.
• Healthcare Knowledge (Preferred): Background in musculoskeletal, primary care, or specialty care coordination.
• Bilingual Spanish - Required

What We Offer

• Direct Impact: Play a key role in helping patients access timely, high-quality orthopedic care.
• Collaborative Environment: Join a mission‑driven team dedicated to innovation and patient experience.
• Opportunity for Knowledge: Learn within a fast‑growing, value‑based care organization

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment based upon age, color, handicap or disability, ethnic or national origin, race, religion, religious creed, gender (including discrimination taking the form of sexual harassment), marital, parental or veteran status, sexual orientation, gender identity, or gender expression.