About the Role

Metro Vein Centers is seeking a detail-oriented Medical Authorization Specialist to support our surgical authorization and front-end revenue cycle operations.

This role is responsible for obtaining prior authorizations for medically necessary surgical procedures, reviewing clinical documentation for payer compliance, and helping ensure patients can move forward with care without unnecessary delays or denials.

The ideal candidate has prior experience working with insurance portals, surgical authorizations, medical necessity documentation, and payer guidelines in a fast-paced healthcare environment. This is not an entry-level administrative role — success in this position requires strong critical thinking, urgency, attention to detail, and a solid understanding of insurance authorization workflows.

This is a fully remote role supporting Metro Vein Centers’ growing national operations. The ideal candidate is highly organized, detail-oriented, and comfortable working independently in a fast-paced, high-volume authorization environment.

What Your Day Looks Like

• Submitting prior authorizations for medically necessary procedures
• Reviewing patient charts and clinical documentation for payer requirements
• Working within insurance portals such as Availity throughout the day
• Following up on authorization requests, denials, and additional documentation needs
• Communicating with payers, providers, and clinical teams to resolve authorization issues
• Updating authorization status and detailed notes within the EMR system
• Managing multiple cases simultaneously while maintaining accuracy and turnaround times

What You’ll Do

• Submit and manage prior authorization requests for surgical and procedural services
• Review patient charts and supporting documentation to ensure medical necessity requirements are met
• Work directly within payer portals including Availity to process and track authorization requests
• Follow up on pending authorizations, denials, and requests for additional clinical information
• Communicate with insurance companies, providers, and internal departments to resolve authorization-related issues
• Maintain accurate authorization documentation and case notes within the EMR system
• Monitor payer guidelines and authorization requirements to help reduce denials and delays in patient care
• Support a high-volume work environment while maintaining strong attention to detail and productivity standards

What You’ll Bring

• Ability to work independently and maintain productivity in a fully remote environment
• Strong understanding of medical prior authorizations, insurance verification, and payer guidelines
• Experience working with surgical authorizations and medical necessity documentation
• Comfortable navigating payer portals such as Availity and EMR systems
• Strong organizational skills and ability to manage multiple cases and deadlines simultaneously
• Excellent communication and collaboration skills when working with payers, providers, and operational teams
• High attention to detail and documentation accuracy
• Ability to work independently while contributing to a team-oriented revenue cycle environment

Education & Experience

• High school diploma or equivalent required
• 1–2+ years of prior authorization experience in a medical, surgical, outpatient, specialty practice, or healthcare revenue cycle environment required
• Experience with insurance portals, authorization workflows, and payer follow-up required
• Centricity / Athena experience preferred
• Prior experience with vascular, surgical, radiology, orthopedic, pain management, cardiology, or specialty procedure authorizations strongly preferred

This Role Is Great For Candidates With Experience In:

• Prior Authorizations
• Surgical Authorizations
• Insurance Verification
• Medical Necessity Review
• Front-End Revenue Cycle
• Patient Access
• Healthcare Billing Support
• Specialty Medical Practices
• Outpatient Surgery Centers
• Medical Insurance Follow-Up
• Referral & Authorization Coordination
• Healthcare Administration

Schedule & Location

• Fully remote position
• Standard business hours Monday–Friday
• Candidates must have reliable internet access and a distraction-free remote work environment

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

Starting at $20/hour and up based on experience