[Hiring] Medical Authorization Specialist @Metro Vein Centers

Role Description

Metro Vein Centers is seeking a detail-oriented Medical Authorization Specialist to support our surgical authorization and front-end revenue cycle operations. This role is responsible for:

• Obtaining prior authorizations for medically necessary surgical procedures
• Reviewing clinical documentation for payer compliance
• Helping ensure patients can move forward with care without unnecessary delays or denials

The ideal candidate has prior experience working with:

• Insurance portals
• Surgical authorizations
• Medical necessity documentation
• Payer guidelines in a fast-paced healthcare environment

This is a fully remote role supporting Metro Vein Centers’ growing national operations. The ideal candidate is highly organized, detail-oriented, and comfortable working independently in a fast-paced, high-volume authorization environment.

What Your Day Looks Like

• Submitting prior authorizations for medically necessary procedures
• Reviewing patient charts and clinical documentation for payer requirements
• Working within insurance portals such as Availity throughout the day
• Following up on authorization requests, denials, and additional documentation needs
• Communicating with payers, providers, and clinical teams to resolve authorization issues
• Updating authorization status and detailed notes within the EMR system
• Managing multiple cases simultaneously while maintaining accuracy and turnaround times

What You’ll Do

• Submit and manage prior authorization requests for surgical and procedural services
• Review patient charts and supporting documentation to ensure medical necessity requirements are met
• Work directly within payer portals including Availity to process and track authorization requests
• Follow up on pending authorizations, denials, and requests for additional clinical information
• Communicate with insurance companies, providers, and internal departments to resolve authorization-related issues
• Maintain accurate authorization documentation and case notes within the EMR system
• Monitor payer guidelines and authorization requirements to help reduce denials and delays in patient care
• Support a high-volume work environment while maintaining strong attention to detail and productivity standards

What You’ll Bring

• Ability to work independently and maintain productivity in a fully remote environment
• Strong understanding of medical prior authorizations, insurance verification, and payer guidelines
• Experience working with surgical authorizations and medical necessity documentation
• Comfortable navigating payer portals such as Availity and EMR systems
• Strong organizational skills and ability to manage multiple cases and deadlines simultaneously
• Excellent communication and collaboration skills when working with payers, providers, and operational teams
• High attention to detail and documentation accuracy
• Ability to work independently while contributing to a team-oriented revenue cycle environment

Education & Experience

• High school diploma or equivalent required
• 1–2+ years of prior authorization experience in a medical, surgical, outpatient, specialty practice, or healthcare revenue cycle environment required
• Experience with insurance portals, authorization workflows, and payer follow-up required
• Centricity / Athena experience preferred
• Prior experience with vascular, surgical, radiology, orthopedic, pain management, cardiology, or specialty procedure authorizations strongly preferred

Schedule & Location

• Fully remote position
• Standard business hours Monday–Friday
• Candidates must have reliable internet access and a distraction-free remote work environment

Benefits

• Medical, Dental, and Vision Insurance
• 401(k) with Company Match
• Paid Time Off (PTO) + Paid Company Holidays
• Company-Paid Life Insurance
• Short-Term Disability Insurance
• Employee Assistance Program (EAP)
• Career Growth & Development Opportunities