Remote Prior Authorization Specialist - Pain Management

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

Benefits offered by this job

Health Insurance

Dental & Vision Insurance

401(k) Retirement Plan

Paid Time Off

Job summary

DxTx Pain & Spine is seeking a Prior Authorization Coordinator to manage prior authorization for interventional pain management, supporting both office-based and outpatient treatments. The role emphasizes accuracy, timely approvals, and patient-centered care.

The position requires at least 1 year of prior authorization experience in Pain Management, HIPAA knowledge, and strong organizational skills. This is a full-time remote role with standard daytime hours.

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 navigation
• Must 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.

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.
• 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.
• 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.

Skills

Organization & time management

Communication skills

Analytical thinking

Problem-solving

Teamwork

Remote work adaptability

Education

High School Diploma or GED

Tools

Microsoft Office

Payor portals

Medical terminology

Job description

DxTx Pain & Spine is seeking a Prior Authorization Coordinator to manage prior authorization for interventional pain management, supporting both office-based and outpatient treatments. The role emphasizes accuracy, timely approvals, and patient-centered care.

The position requires at least 1 year of prior authorization experience in Pain Management, HIPAA knowledge, and strong organizational skills. This is a full-time remote role with standard daytime hours.