Prior Authorization Coordinator At A Fast-Growing Vein & Vascular Clinic

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Authorizations Specialist with Pathway to Management at Fast Growing Surgical Center & Healthcare Brand

Join our patient-centered healthcare team as a Prior Authorization Coordinator and start your journey toward a future management role. The Prior Authorization Coordinator is essential to our clinical operations, acting as the primary liaison between patients, providers, and insurance companies. Daily responsibilities include managing prior authorization requests, verifying insurance coverage, obtaining approvals for procedures and medications, and ensuring compliance with all documentation requirements.

What sets this opportunity apart?

This position offers hands-on experience with workflow management, strategic communication, and performance tracking—core leadership skills that serve as a springboard to supervisory and management roles. As a Prior Authorization Specialist, you’ll develop both operational expertise and interpersonal leadership qualities in a supportive environment that values professional growth and internal advancement.

Why This Role is an Opportunity

• Build direct experience with workflow management and process improvement, essential for future leadership positions.
• Gain hands-on exposure to healthcare operations, compliance, and insurance protocols.
• Develop interpersonal leadership skills by problem-solving with patients, providers, and internal teams.
• Position yourself for growth into roles such as Prior Auth Supervisor, Office Manager, or Operations Manager within the organization.
• Work in a culture that values mentorship, professional development, and career progression.

Duties/Responsibilities:

• Coordinate and obtain prior authorizations for procedures and other medical services from insurance companies.
• Verify patient insurance coverage and eligibility before submitting authorization
• Follow up with insurance companies, healthcare providers, and patients to resolve any delays or issues in the authorization process.
• Communicate authorization approvals or denials to the appropriate medical staff, patients, and referring providers.
• Maintain detailed records of all authorization activities in the electronic health record (EHR) system.
• Provide patients with information on the authorization process, including estimated wait times and any required actions on their part.
• Work closely with clinical staff to ensure appropriate coding and documentation is provided for authorizations.
• Stay updated on changes in insurance policies, authorization guidelines, and referral processes to ensure compliance.

Required Skills/Abilities:

• Familiarity with insurance plans, coverage policies, and prior authorization requirements.
• Proficiency in medical terminology, ICD-10 and CPT coding, and understanding of healthcare workflows.
• Experience with electronic health record (EHR) systems and practice management software.
• Strong organizational, communication, and problem-solving skills.
• Ability to multitask and manage priorities in a fast-paced environment.
• Attention to detail and accuracy in documentation and communication.
• Knowledge of HIPAA regulations and patient confidentiality standards.

Education and Experience:

• High school diploma or equivalent; associate degree or relevant certification in healthcare administration is a plus.
• Minimum 1-2 years of experience in a healthcare setting, preferably in medical billing, insurance verification, or authorizations/referrals.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.

We are seeking a candidate who embodies the following core values and traits that are essential to our team culture:

• Accountability: Takes ownership of tasks and decisions; ensures quality and timeliness of tasks
• Clarity: Ensures information is shared in a clear and concise manner, fostering effective collaboration.
• Effective Communication: Strong verbal and written communication, understood across all levels.
• Empathy: Possesses deep understanding of others’ perspectives; allows for meaningful connections
• Hard Work: Driven, diligent, and committed to putting the effort required for excellence.
• Humility: Displays modesty in success, openness to learning and recognizes contributions of others.
• Integrity: Upholds strong moral principles, ensuring honesty and ethical behavior
• Open-Mindedness: Welcomes new ideas and fosters innovation and diverse thinking.
• Reliability: Consistently delivers on promises and can be counted on in times of need.
• Respect: Treats colleagues, clients, and stakeholders with courtesy, valuing diverse opinions.
• Teamwork: Collaborates effectively with others and priorities team goals
• Transparency: Open about processes and decisions, ensuring trust within the team.
• Trust: Builds and maintains strong, trusting relationships through dependability and consistency

Job Type: Full-time

Pay: $22.00 - $25.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person