Remote Retina Authorization Specialist

Addison Group; Southlake (TX); Remote; USD 30,000 - 40,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401K

PTO

Job summary

Addison Group is seeking a qualified Retina Prior Authorization Specialist to join its revenue cycle team. This fully remote role focuses on obtaining insurance authorizations for retina-specific treatments and intravitreal medications, navigating payer requirements, and coordinating with clinical practices to ensure timely access to care.

The ideal candidate has recent retina authorization experience, hands-on knowledge of retina meds, and proficiency with payer portals, manufacturer programs,

Qualifications

• Recent retina-specific prior authorization experience required.
• Experience obtaining authorizations for intravitreal injectable medications.
• Strong understanding of retina treatments, drug coverage requirements.
• Experience with commercial insurance, Medicare, and other government payers.
• Familiarity with manufacturer drug portals, copay assistance, and patient support programs.
• Comfortable navigating insurance payer portals and researching authorization requirements.
• Experience tracking and renewing expiring authorizations.
• Excellent attention to detail, organization, and follow-through.
• Ability to work independently in a fully remote environment.

Responsibilities

• Obtain prior authorizations for retina treatments and intravitreal drugs.
• Submit and track authorization requests through commercial and government insurance portals.
• Coordinate with retina practices to prevent treatment delays.
• Complete benefits investigations and verify drug coverage requirements.
• Navigate manufacturer portals and assist with copay assistance programs.
• Monitor authorization expiration dates and proactively request renewals.
• Research authorization issues, payer requirements, and missing documentation.
• Maintain accurate authorization records within EMR and billing systems.
• Communicate authorization updates with clinical and Revenue Cycle teams.
• Stay current on payer guidelines, drug coverage policies, and manufacturer assistance programs.
• Maintain HIPAA compliance and accurate patient documentation.

Skills

Retina prior authorization experience

Authorization for intravitreal meds

Detail-oriented

Strong communication

Independent worker

Tools

Insurance portals

EMR systems

COPAY portals

Job description

Addison Group is seeking a qualified Retina Prior Authorization Specialist to join its revenue cycle team. This fully remote role focuses on obtaining insurance authorizations for retina-specific treatments and intravitreal medications, navigating payer requirements, and coordinating with clinical practices to ensure timely access to care.

The ideal candidate has recent retina authorization experience, hands-on knowledge of retina meds, and proficiency with payer portals, manufacturer programs,