Authorization Specialist

Prior Authorization Specialist - Procedures Healthcare shouldn't be something you worry about when taking care of your family. That's why when you join Redirect Health, your healthcare costs nothing out of your paycheckand the same is true for your spouse and children. No monthly premiums No deductibles No surprise medical bills Most team members avoid tens of thousands of dollars in healthcare costs compared to traditional health plans. This isn't a perk. It's part of our mission. Who We Are Redirect Health exists to make healthcare affordable for small businesses and people who can't afford traditional employer insurance. We help real people navigate a system that is often confusing, expensive, and frustratingand we do it with empathy, accountability, and simplicity. If you want your work to matter to families every single day, you'll find purpose here. How We Work (Our Core Values in Action) At Redirect Health, our values guide how we show up for each other, our clients, and our members. We do our best work when we: Obsess Over People We are always helpful, friendly, and human. Own It to Completion If we take something on, we see it through. Always Improve & Adapt We learn quickly and adjust without ego. Always Start with "Yes, We Can Help You" We lead with solutions and figure out the rest. Succeed as a Team We win together through trust and collaboration. Detest Waste & Unnecessary Complexity We remove friction so we can focus on what truly helps people. If these values resonate with you, you'll feel at home here. About This Role The Prior Authorization Specialist - Procedures exists to advocate for Redirect Health members by coordinating surgical care, managing costs, and ensuring high-quality outcomes at fair, negotiated rates. In this role, you will: Serve Redirect Health members navigating surgical procedures Be responsible for coordinating surgical care, negotiating costs, and advocating on behalf of members Directly impact member confidence, access to care, and affordability within the healthcare system This is a hands-on role for someone who: Enjoys advocacy, coordination, and problem-solving in complex healthcare situations Takes ownership and follows through Wants their work to have a real-world impact on people's lives and health What You'll Do In this role, you will: Own: Surgical coordination from intake through completion, including timelines and communication Support: Members by prioritizing their needs with compassion and clarity Collaborate with: Internal providers, hospitals, surgical facilities, anesthesiologists, and external provider offices Improve: Cost management, care coordination efficiency, and member experience Advocate for: Members by negotiating fair and equitable rates with providers A strong performer in this role is known for: Building trust with members during high-stress healthcare moments Communicating clearly and confidently with providers and facilities Consistently meeting or exceeding KPIs tied to coordination and advocacy goals How Success Is Measured Success in this role is measured by: Timely and effective coordination of surgical care Successful negotiation of fair procedural costs Member satisfaction and confidence throughout the surgical process Achievement of coordination, cost-management, and advocacy KPIs What We're Looking For We're looking for someone who: Brings relevant experience in healthcare administrative support or case management Communicates clearly and with empathy Takes ownership and follows through Uses analytical and decision-making skills to navigate complex care scenarios Works well across teams and external partners Cares deeply about advocating for patients High School Diploma or GED, required 1 year of experience in a healthcare administrative support or case management-related role, required Medical billing background, preferred Proficiency in Microsoft Word, Excel, and an EMR system, preferred Why Join Redirect Health What "Free Healthcare" Actually Means When we say free, we mean no money out of your paycheck and no cost when you need care: No monthly premiums No cost to add your spouse or children No deductibles (we reimburse them) No out-of-pocket maximums This benefit alone can save families tens of thousands of dollars. What You'll Earn Starting pay: $23.88/hour FREE healthcare for you and your entire family Dental & Vision insurance Paid time off & sick time 401(k) access A mission-driven team that believes in doing the right thing Ready to Make a Difference? If you're looking for more than just a joband want to help reshape how healthcare works for familieswe'd love to hear from you. Legal Stuff Redirect Health is an Equal Opportunity Employer (EOE). Employment with Redirect Health is at-will. Nothing in this job posting or the application process creates a contract or guarantee of employment. Please note this job description is not designed to contain a comprehensive listing of activities, duties, or responsibilities required for this role. Duties, responsibilities, and activities may change at any time with or without notice. Redirect Health does not provide employment-based visa sponsorship now or in the future for this position. Applicants must be currently authorized to work in the United States without sponsorship. Redirect Health