Pain Management Authorization – Scheduling Coordinator

Delaware Valley University

. Obtain prior authorization and precertification for pain management procedures, diagnostic testing, medications when assigned, and other services requiring payer approval.

Posted 9/22/2026full-timeRemote • United StatesMid-LevelSenior💰 $26 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in obtaining prior authorization and precertification for medical procedures, with strong organizational skills to manage multiple cases and deadlines. Proficient in coordinating communication among physicians, patients, and clinical staff while maintaining compliance with HIPAA regulations.

Highest-signal resume keywords

Prior Authorization ManagementInsurance VerificationElectronic Medical Record SystemsStrong Organizational SkillsExcellent Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior AuthorizationPrecertificationInsurance VerificationMedical SchedulingClinical DocumentationAuthorization TrackingPayer GuidelinesPatient Medical RecordsScheduling ProceduresDenial Management

Soft Skills

Attention to DetailAbility to Work IndependentlyPrioritization SkillsProfessional CommunicationProblem-Solving

Tools & Technologies

Electronic Medical Record SystemsPractice Management Systems

Industry Keywords

Pain ManagementOrthopedicSpineCommercial InsuranceMedicareWorkers' CompensationAutomobile InsuranceHIPAA Compliance

About the role

Key responsibilities & impact

Obtain prior authorization and precertification for pain management procedures, diagnostic testing, medications when assigned, and other services requiring payer approval.
Verify insurance benefits, eligibility, authorization requirements, and applicable payer guidelines prior to scheduling procedures.
Submit clinical documentation and authorization requests to insurance carriers and third party utilization management organizations.
Track pending authorization requests and follow up with insurance carriers until a determination is received.
Communicate authorization requirements, denials, requests for additional information, and peer to peer requirements to the physician and clinical staff.
Coordinate additional clinical documentation and assist with authorization-related denials and appeals.
Maintain accurate authorization records, payer communications, and patient medical-record documentation.
Monitor authorization expiration dates and ensure procedures are scheduled within approved timeframes.
Schedule pain management procedures, follow-up appointments, and other physician services.
Coordinate procedure dates with patients, physicians, facilities, and clinical staff.
Provide patients with scheduling information, procedural instructions, and approved appointment information.
Confirm authorization and documentation are complete before scheduled procedures.
Manage cancellations, rescheduling, and changes to the physician's procedural schedule.
Serve as the primary administrative support for the assigned pain management physician.
Manage the physician's administrative schedule and practice-related calendar.
Assist with correspondence, forms, documents, phone calls, meetings, appointments, and other administrative requests.
Coordinate communication among the physician, patients, clinical staff, facilities, referring offices, and departments.
Maintain organized records and follow-up systems for outstanding administrative items.
Monitor work queues and outstanding tasks for timely completion.
Participate in training and maintain knowledge of payer requirements and practice workflows.
Maintain professional communication and perform additional assigned duties.

Requirements

What you’ll need

High school diploma or equivalent required.
Prior medical office experience preferred.
Experience with insurance verification, prior authorization, precertification, or medical scheduling strongly preferred.
Pain management, orthopedic, spine, or procedural specialty experience preferred.
Familiarity with commercial insurance, Medicare, workers' compensation, and automobile insurance requirements is preferred where applicable.
Strong computer skills and experience working with electronic medical record and practice management systems.
Strong organizational skills with the ability to manage multiple active cases and deadlines simultaneously.
Excellent written and verbal communication skills.
Ability to work independently, prioritize responsibilities, and follow outstanding items through completion.
Strong attention to detail and ability to identify potential scheduling or authorization issues before they affect patient care.
Maintain patient confidentiality and comply with HIPAA and all applicable practice policies.