Prior Authorization Specialist
New Orleans, LA
Full Time
Entry Level
Louisiana Pain Specialists is looking for a Prior Authorization Specialist to join our pain management team in New Orleans. This full-time position is responsible for obtaining and managing prior authorizations for interventional pain procedures, imaging, and medications, ensuring timely approval under provider direction and insurance requirements.
Responsibilities:
Responsibilities:
- Process prior authorizations – Submit, track, and follow up on prior authorization requests for pain management services including injections (e.g., epidural steroid injections, nerve blocks), radiofrequency ablations, spinal procedures, imaging (MRI/CT), and specialty medications. Ensure all clinical documentation meets payer guidelines.
- Insurance verification and coordination – Verify patient benefits, coverage, and eligibility for pain management services. Coordinate with providers and clinical staff to collect necessary documentation such as office notes, imaging reports, and treatment plans.
- Maintain accurate records – Document all authorization activity, approvals, denials, and payer communication in the electronic medical record (EMR). Monitor authorization timelines to ensure procedures are not delayed.
- Resolve authorization issues – Follow up on pending or denied cases. Assist with appeals by gathering supporting documentation and working with providers and insurance representatives to secure approvals.
- Other duties: – Answer phones, communicate with patients regarding authorization status and scheduling readiness, and assist with front-office or administrative duties as needed. Maintain professionalism and support a fast-paced pain management practice environment.
- Minimum of 1 year of prior authorization experience required (pain management or specialty care preferred)
- High school diploma or equivalent
- Strong understanding of medical terminology, CPT/ICD-10 coding, and insurance authorization processes related to interventional pain procedures
- Excellent communication and organizational skills
- Ability to manage multiple authorizations and meet deadlines in a fast-paced setting
- Experience with EMR systems required
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