Prior Authorization Coordinator
Prior Authorization Coordinator
Full-Time | $19-21/hour | Monday–Friday | 8:00 AM–4:30 PM CST
Location: Remote
About DxTx Pain & SpineAt 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.
Our model preserves each practice’s unique identity and decision-making freedom, while providing scalable resources in compliance, finance, ASC management, and marketing. Guided by our patient-first philosophy, we diagnose and treat pain at its source using non-surgical and minimally invasive options—reserving surgery as a last resort.
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.
- 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.
- 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.
- 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.
- 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)
High school diploma/GED and 1+ year of prior authorization and clinical setting experience, including pain management. Requires Microsoft Office proficiency, HIPAA knowledge, medical terminology, and payor portal familiarity.
Key Responsibilities
- managing authorizations
- collecting documentation
- communicating approvals
Skills & Tools
Microsoft Office Suite, Payor portals, Bonusly, DailyPay
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Entry Level
- Commitment: Full Time
- Workplace: Remote — United States
- Salary: USD 39,520 – 43,680 / year
- Languages: English
Benefits
- Generous paid time off
- Tuition reimbursement
- Retirement plan
- Generous parental leave
About DxTx Pain & Spine
A physician-aligned healthcare organization supporting independent pain and spine practices with operational resources and patient-centered care. — Industry: Healthcare