Procedure Authorization Specialist at EXPRESS PAIN AND URGENT CARE PLLC

San Antonio, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Apr, 26

Salary

23.0

Posted On

21 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Prior Authorizations, Payer Portals, Authorization Workflows, Clinical Criteria, Patient Copays, Cost Estimates, Documentation, Patient Communication, Team Collaboration, Fast-Paced Environment, Athena Experience, Pain Management, Problem Solving, Financial Responsibility, Monitoring Status, Resolving Denials

Industry

Hospitals and Health Care

Description

Description Procedure Authorization Specialist (Pain Management) North San Antonio, TX Full-Time | Monday-Friday, 8 AM – 5 PM Pay Range: $21–$23/hour (based on experience) Why Join Epic? At Epic, every patient interaction matters. You’ll be part of a supportive and collaborative team where your work directly impacts patient outcomes, clinic efficiency, and overall patient experience. Benefits include: PTO, paid holidays & 401(k) with 4% employer match 80% employer-paid medical insurance for employees, plus optional low-cost dental, vision, and family plans Pet insurance, legal insurance, identity theft protection, travel insurance, and employee discount programs Position Overview We are hiring a Procedure Authorization Specialist for our Stone Oak location to support pain management services. This role focuses on obtaining and managing prior authorizations to ensure timely patient care and minimize delays. The ideal candidate has a deep understanding of payer-specific requirements for pain procedures and is confident working independently in a fast-paced environment. Key Responsibilities Obtain prior authorizations for pain management procedures Navigate payer portals efficiently to submit, track, and follow up on authorizations Understand and apply payer-specific requirements and clinical criteria Monitor authorization status and resolve denials or delays as needed Calculate patient copays and coinsurance and provide cost estimates prior to procedures Notify patients proactively of their financial responsibility Accurately document authorization activity and outcomes in Athena Partner with clinical and scheduling teams to maintain efficient patient flow Requirements Qualifications 2–5 years of experience in prior authorizations Strong familiarity with payer authorization workflows and requirements Athena experience highly preferred College degree not required—experience is imperative

Responsibilities

The Procedure Authorization Specialist will obtain and manage prior authorizations for pain management procedures, ensuring timely patient care. This role involves navigating payer portals, monitoring authorization statuses, and collaborating with clinical teams.