[Hiring] Prior Authorization Coordinator @PainPoint Health

Role Description

As a Prior Authorization Coordinator, you’ll play a vital role in ensuring patients receive timely approval for the care they need. You’ll manage the entire authorization process for interventional pain management procedures—supporting both office-based and advanced outpatient treatments. This role is ideal for someone detail-oriented, collaborative, and dedicated to process accuracy and patient impact.

• Authorization Management & Compliance
  • 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 Paycor.
  • 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.
• Collaboration & Communication
  • 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.

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.

Benefits

• Health, Dental & Vision Insurance
• Accident and Life/AD&D Insurance
• Short & Long-Term Disability
• Emergency Travel Assistance Program
• ID-theft Protection Services
• LifeMart Employee Discount Program
• Health Savings Account (HSA)
• Health Management Tools
• Paid Time Off (PTO)
• Company Paid Holidays
• Paternal Leave
• 401(k) Retirement Plan
• Remote Stipend
• Travel Reimbursement
• Continuing Education Reimbursement
• Bonusly (employee recognition platform)
• DailyPay (on-demand pay access)