Prior Authorization Coordinator

🏢 PainPoint Health · all PainPoint Health jobs
📍 United States
📅 Posted 2026-07-03 · via Himalayas
🏷 Prior-Authorization-Coordinator,Healthcare-Administration,Medical-Coordinator,Patient-Services-Representative,Healthcare-Support,Prior-Authorization-Specialist,Pre-Authorization-Specialist,Insurance-Authorization-Coordinator
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Prior Authorization Coordinator
Full-Time | $19-21/hour | Monday–Friday | 8:00 AM–4:30 PM CST
Location: Remote About DxTx Pain & Spine
At DxTx Pain & Spine, we’re redefining how pain and spine practices thrive. As a physician-aligned partner organization, we empower independent, award-winning physicians across the country by combining clinical autonomy with strong operational support.

The Opportunity
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.

What You’ll Do:
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.

You’ll Thrive in This Role If You…
- Excel at organization, accuracy, and time management.

- Communicate clearly and professionally—both verbally and in writing.

- Are a proactive problem-solver who enjoys navigating complex processes.

- Value teamwork, adaptability, and supporting patient-centered care.

- Are comfortable working remotely in a fast-paced, detail-driven environment.

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.

What We Offer
- 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)

Why You’ll Love Working at DxTx Pain & Spine
At DxTx, you’ll join a supportive, mission-driven team that values transparency, innovation, and growth. You’ll have the opportunity to contribute to a national network that’s transforming pain care—while enjoying the flexibility of remote work and the satisfaction of meaningful impact.

Ready to Make a Difference?
If you’re detail-driven, patient-focused, and eager to play a key role in delivering exceptional pain care, we’d love to hear from you.
An Equal Opportunity Employer

We do not discriminate based on race, color, religion,

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