The Opportunity As a Prior Authorization Team Lead, you will oversee and support all aspects of the prior authorization process for interventional pain management procedures, including advanced ...
The Opportunity As a Prior Authorization Team Lead, you will oversee and support all aspects of the prior authorization process for interventional pain management procedures, including advanced ...
Prior Authorization Specialist
Toledo, OH · Hybrid
$20 - $25.05/hr
... Manager that may lead to inaccurate or untimely resubmissions of claims. • Serves as back up for prior authorization team tier 1. • Other duties as assigned. Qualifications: Education: Graduate ...
Prior Authorization Specialist
Toledo, OH · Hybrid
$20 - $25.05/hr
... Manager that may lead to inaccurate or untimely resubmissions of claims. • Serves as back up for prior authorization team tier 1. • Other duties as assigned. Qualifications: Education: Graduate ...
Clinical Pharmacist - Prior Authorization
$50.48 - $84.62/hr
... denial management processes. - Performs and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, and/or patients to ...
Clinical Pharmacist - Prior Authorization
$50.48 - $84.62/hr
... denial management processes. - Performs and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, and/or patients to ...
Clinical Pharmacist - Prior Authorization
$50.48 - $84.62/hr
... denial management processes. - Performs and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, and/or patients to ...
Clinical Pharmacist - Prior Authorization
$50.48 - $84.62/hr
... denial management processes. - Performs and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, and/or patients to ...
Pharmacy Technician - Prior Authorization
CA · Remote
$21.50 - $22.50/hr
November 10, 2025 Duration: 6 months (with potential extension) About the Role Pharmacy Technicians I - Prior Authorization to support our Prior Authorization team in a fully remote, high-volume call ...
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Pharmacy Technician - Prior Authorization
CA · Remote
$21.50 - $22.50/hr
November 10, 2025 Duration: 6 months (with potential extension) About the Role Pharmacy Technicians I - Prior Authorization to support our Prior Authorization team in a fully remote, high-volume call ...
Prior Authorization Specialist
Farmers Branch, TX · On-site
$22 - $24/hr
You will manage prior authorization requests, assist patients with questions, coordinate with ... We are committed to hiring team members who are passionate about patient care, operational ...
Prior Authorization Specialist
Farmers Branch, TX · On-site
$22 - $24/hr
You will manage prior authorization requests, assist patients with questions, coordinate with ... We are committed to hiring team members who are passionate about patient care, operational ...
Interested in joining our successful Garden City Team? We are currently seeking a Nurse Case Manager, Prior Authorization RN! Position Summary: The Nurse Case Manager, Prior Authorization RN is ...
Interested in joining our successful Garden City Team? We are currently seeking a Nurse Case Manager, Prior Authorization RN! Position Summary: The Nurse Case Manager, Prior Authorization RN is ...
Imaging and Prior Authorization Team Leader is a critical position within the Referral Department ... The Team Leader also supports Management by monitoring Referral processing and completion of daily ...
Imaging and Prior Authorization Team Leader is a critical position within the Referral Department ... The Team Leader also supports Management by monitoring Referral processing and completion of daily ...
Prior Authorization Specialist
Franklin, TN · On-site
$18 - $22/hr
Submit and manage prior authorization, referral, and appeal requests through payer portals, phone ... Team Culture - Thrive in a supportive environment that values innovation, accountability, and ...
New
Prior Authorization Specialist
Franklin, TN · On-site
$18 - $22/hr
Submit and manage prior authorization, referral, and appeal requests through payer portals, phone ... Team Culture - Thrive in a supportive environment that values innovation, accountability, and ...
New
Authorizations Team Lead
Wausau, WI · On-site
Bone & Joint is seeking a Prior Authorizations Team Lead to support and elevate our surgical, clinic, and physical therapy authorization operations. This role is essential to ensuring accurate ...
Authorizations Team Lead
Wausau, WI · On-site
Bone & Joint is seeking a Prior Authorizations Team Lead to support and elevate our surgical, clinic, and physical therapy authorization operations. This role is essential to ensuring accurate ...
Acute Prior Authorization Specialist
Whittier, CA · On-site
$21 - $24/hr
By efficiently managing prior authorization requests, this role directly impacts patient outcomes and satisfaction by reducing delays in receiving acute care services. Ultimately, the Acute Prior ...
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Acute Prior Authorization Specialist
Whittier, CA · On-site
$21 - $24/hr
By efficiently managing prior authorization requests, this role directly impacts patient outcomes and satisfaction by reducing delays in receiving acute care services. Ultimately, the Acute Prior ...
Prior Authorization Specialist - Prior Authorization - Full time
Basalt, CO · On-site
$24.25 - $38.81/hr
We are currently hiring for a full time Prior Authorization Specialist within the Prior ... this team and in a broader sense across the hospital as a whole. I have worked for a HUGE ...
Prior Authorization Specialist - Prior Authorization - Full time
Basalt, CO · On-site
$24.25 - $38.81/hr
We are currently hiring for a full time Prior Authorization Specialist within the Prior ... this team and in a broader sense across the hospital as a whole. I have worked for a HUGE ...
Authorization Specialist Team Lead
Louisville, KY · On-site
$7.25/hr
... Team Lead Job Locations US-KY-LOUISVILLE ID 2026-194060 Line of Business SpringHealth Behavioral ... Operational Management: * Ensure timely submission and follow-up of prior authorizations and ...
Authorization Specialist Team Lead
Louisville, KY · On-site
$7.25/hr
... Team Lead Job Locations US-KY-LOUISVILLE ID 2026-194060 Line of Business SpringHealth Behavioral ... Operational Management: * Ensure timely submission and follow-up of prior authorizations and ...
We are currently hiring for a full time Prior Authorization Specialist within the Prior ... this team and in a broader sense across the hospital as a whole.I have worked for a HUGE ...
We are currently hiring for a full time Prior Authorization Specialist within the Prior ... this team and in a broader sense across the hospital as a whole.I have worked for a HUGE ...
Prior Authorization Specialist - Prior Authorization - Full time
Basalt, CO · On-site
$24.25 - $38.81/hr
We are currently hiring for a full time Prior Authorization Specialist within the Prior ... this team and in a broader sense across the hospital as a whole. I have worked for a HUGE ...
Prior Authorization Specialist - Prior Authorization - Full time
Basalt, CO · On-site
$24.25 - $38.81/hr
We are currently hiring for a full time Prior Authorization Specialist within the Prior ... this team and in a broader sense across the hospital as a whole. I have worked for a HUGE ...
$93K - $123K/yr
We're looking for a product leader to own the strategy, roadmap, and cross-team execution for our ... Define the strategy and standards for payer connectivity and prior authorization submission ...
$93K - $123K/yr
We're looking for a product leader to own the strategy, roadmap, and cross-team execution for our ... Define the strategy and standards for payer connectivity and prior authorization submission ...
PRIOR AUTHORIZATION SPECIALIST
Bowling Green, KY · On-site
$17.75 - $23.50/hr
Work collaboratively with clinicians, practice managers, and other team members to obtain clinical notes and documentation necessary for prior authorization approval. * Verify authorization ...
PRIOR AUTHORIZATION SPECIALIST
Bowling Green, KY · On-site
$17.75 - $23.50/hr
Work collaboratively with clinicians, practice managers, and other team members to obtain clinical notes and documentation necessary for prior authorization approval. * Verify authorization ...
Prior Authorization Manager
Plano, TX · On-site
PRIOR AUTHORIZATION MANAGER Texas Institute for Neurological Disorders / US Neurology Associates ... KEY RESPONSIBILITIES Function Buildout & Team Leadership * Lead the transition of prior ...
Prior Authorization Manager
Plano, TX · On-site
PRIOR AUTHORIZATION MANAGER Texas Institute for Neurological Disorders / US Neurology Associates ... KEY RESPONSIBILITIES Function Buildout & Team Leadership * Lead the transition of prior ...
Prior Authorization Specialist
Battle Creek, MI · On-site
$17 - $22.75/hr
Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...
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Prior Authorization Specialist
Battle Creek, MI · On-site
$17 - $22.75/hr
Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...
Prior Authorization Specialist
Battle Creek, MI · On-site
$17 - $22.75/hr
Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...
Prior Authorization Specialist
Battle Creek, MI · On-site
$17 - $22.75/hr
Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...
Manager Prior Authorization Team Lead information
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$14.49 is the 25th percentile. Wages below this are outliers.
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The median wage is $18.08 / hr.
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Prior Authorization Team Lead
Remote
$23/hr
Other
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 20 days ago
Job description
Full-Time | Remote | $23/hr
Schedule: Monday-Friday 8:00 AM-4:30 PM
About DxTx
DxTx Pain & Spine is a physician-aligned partner organization dedicated to supporting independent pain and spine practices through operational excellence while preserving clinical autonomy. We partner with award-winning physicians nationwide, providing support in compliance, finance, ASC operations, marketing, and other key business functions.
The Opportunity
As a Prior Authorization Team Lead, you will oversee and support all aspects of the prior authorization process for interventional pain management procedures, including advanced procedures performed in office and outpatient settings. You'll serve as a department resource and subject matter expert while supporting team training, workflow improvements, and authorization accuracy.
What You'll Do
Prior Authorization & Patient Access
- Collect and review documentation required for prior and retro authorization requests.
- Review payer medical necessity guidelines and authorization requirements.
- Communicate with practices to obtain additional information needed for procedures and medication requests.
- Navigate payer portals and monitor provider and clinic communications to ensure timely responses.
- Document account activity and maintain accurate patient and claim information.
- Monitor procedure trackers and assist leadership in identifying workflow gaps.
- Serve as a subject matter expert on medical policies, departmental procedures, and affiliate workflows.
- Lead team huddles, distribute meeting notes, and assist with team training, mentoring, audits, and cross-coverage.
- Support new practice and procedure integrations, including workflow and SOP development.
- Identify authorization trends or issues that may delay claims processing and recommend solutions.
- Collaborate with practices, vendors, insurance carriers, patients, management, and internal teams.
- Provide outstanding customer service and support throughout the department.
- Perform other related duties as assigned.
- Are highly organized and detail-oriented.
- Enjoy solving complex authorization and insurance-related challenges.
- Communicate effectively with providers, staff, and insurance carriers.
- Enjoy mentoring teammates and improving processes.
- Thrive in a collaborative remote environment.
- High School Diploma or GED required.
- At least one (1) year of prior authorization experience in a clinical setting required.
- Excellent verbal and written communication skills.
- Strong organizational, analytical, and problem-solving abilities.
- Proficiency with Microsoft Office Suite or similar software.
- Extensive knowledge of medical policies and LCDs related to pain management procedures.
- Basic understanding of medical terminology.
- Experience navigating payer portals to obtain authorizations and review medical policies.
- Health, Dental & Vision Insurance
- Accident and Life/AD&D Insurance
- Short & Long-Term Disability
- Emergency Travel Assistance Program
- ID-Theft Protection Services
- Health Savings Account (HSA)
- Health Management Tools
- Paid Time Off (PTO)
- Company Paid Holidays
- Paternal Leave
- 401(k)
- Remote Stipend
- Travel Reimbursement
- Continuing Education Reimbursement
- Bonusly Employee Recognition Platform
- DailyPay On-Demand Pay Access
- LifeMart Employee Discount Program
If you're an experienced prior authorization professional looking to make an impact in a collaborative, remote environment, we encourage you to apply today and help support timely patient access to care.
An Equal Opportunity Employer
We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.