Prior Authorization Coordinator

Prior Authorization Coordinator 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 proceduressupporting 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 professionallyboth 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 carewhile 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, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.