Medical Authorization Specialist at Metro Vein Centers

Detroit, Michigan, United States -

Full Time

Start Date

Immediate

Expiry Date

19 Jul, 26

Salary

0.0

Posted On

20 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Prior Authorization, Medical Necessity Documentation, Surgical Pre-certifications, Insurance Portals, Availity, EMR, Centricity, Revenue Cycle Operations, Data Entry, Insurance Denials, Medical Documentation, Communication Skills, Collaboration, Attention To Detail, Time Management

Industry

Hospitals and Health Care

Description

Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our board-certified physicians and expert staff are on a mission to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs. With over 60 clinics across 7 states, and still growing, we’re building the future of vein care—delivering compassionate, results-driven care in a modern, patient-first environment. We proudly maintain a Net Promoter Score (NPS) of 93, the highest patient satisfaction in the industry. We are seeking a Medical Authorization Specialist to support our back-end revenue cycle operations. This role focuses on obtaining timely prior authorizations for surgical procedures and ensuring proper documentation is in place to avoid delays in patient care. You’ll work closely with insurance portals (especially Availity), collaborate with clinical teams, and enter accurate data into our EMR (Centricity). The ideal candidate is detail-oriented, organized, and has prior experience with medical necessity documentation, insurance guidelines, and surgical pre-certifications. What You’ll Do Submit and manage prior authorization requests for surgical procedures Review patient charts and ensure medical necessity documentation meets payer requirements Monitor and respond to insurance denials or additional documentation requests Communicate directly with payers, clinical staff, and other departments to resolve issues Update authorization status in the EMR (Centricity) and maintain accurate internal records Use online insurance portals (e.g., Availity) to process and track authorizations Support a high-volume environment while maintaining attention to detail and deadlines What You’ll Bring 3-4+ years of prior authorization experience in a medical or surgical setting Strong familiarity with insurance portals, especially Availity Understanding of medical necessity requirements and surgical documentation Comfort navigating EMRs and entering detailed case notes (Centricity experience is a plus) Strong communication and collaboration skills High school diploma or equivalent required Benefits to Support Your Wellbeing & Lifestyle Full-time team members at Metro Vein Centers are eligible for: Medical, Dental, and Vision Insurance 401(k) with Company Match Paid Time Off (PTO) + Paid Company Holidays Company-Paid Life Insurance Short-Term Disability Insurance Employee Assistance Program (EAP) Career Growth & Development Opportunities Compensation Staring at $20.00 & Up Based on Experience #LI-remote The Metro Vein Centers Difference Healthy legs. Happier lives. At Metro Vein Centers, we believe exceptional care begins with an exceptional experience. Our mission is to make vein care approachable, empowering, and connected to overall well-being. From the first conversation to the final follow-up, every patient interaction reflects our commitment to compassion, expertise, and trust. A team united by purpose. Our values guide everything we do: Patients First, Always – Every interaction should make our patients feel valued, heard, and cared for. Stronger Together – Teamwork and collaboration drive our success. We lift each other up to deliver the best for our patients. A Can-Do Spirit – We meet every challenge with positivity, flexibility, and problem-solving energy. Results That Make a Difference – We’re driven to improve lives through meaningful, measurable outcomes. Commitment to Growth – We invest in our people, fostering advancement and professional development at every level. Metro Vein Centers is an Equal Opportunity Employer. We’re committed to creating a workplace where everyone feels seen, heard, and supported. We do not discriminate based on race, color, religion, sex, national origin, age, disability, genetics, gender identity or expression, sexual orientation, veteran status, or any other protected status in accordance with applicable federal, state, and local laws. This policy applies to all aspects of employment, including recruitment, hiring, promotion, compensation, benefits, and termination. Legal & Compliance Notice: Metro Vein Centers complies with all applicable federal, state, and local employment laws, including those related to nondiscrimination, equal opportunity, and pay transparency. Where specific disclosures or postings are required by law, we provide this information as part of our hiring process or upon request. Your privacy matters. To learn more about how we collect, use, and protect your information, please review our privacy policy here.

Responsibilities

The Medical Authorization Specialist is responsible for submitting and managing prior authorization requests for surgical procedures while ensuring all medical necessity documentation meets payer requirements. They will also monitor insurance denials, communicate with clinical staff, and maintain accurate authorization records within the EMR system.