Remote Prior Authorization Specialist — Part-Time

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

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