Bilingual Prior Authorization & Procedure Scheduling Coordinator - OR

Busy Interventional Pain Management Clinic

Position Summary

We are seeking a highly organized, proactive, and detail-oriented Prior Authorization & Procedure Scheduling Coordinator to support a fast-paced interventional pain management practice. This position is responsible for coordinating the entire procedure scheduling process—from obtaining insurance authorization through scheduling the patient, facility, anesthesia, and necessary vendors.

The ideal candidate is an excellent communicator who can manage multiple cases simultaneously, follow up consistently, and ensure procedures move efficiently from physician order to completion.

Key Responsibilities

Prior Authorizations

• Obtain prior authorizations for interventional pain management procedures.
• Verify insurance benefits, eligibility, authorization requirements, and procedure coverage.
• Submit clinical documentation, procedure codes, diagnosis codes, and supporting records to insurance carriers.
• Track pending authorizations and follow up consistently until a determination is received.
• Communicate authorization approvals, denials, and additional documentation requirements to the appropriate clinical team.
• Assist with coordinating peer-to-peer reviews and appeals when necessary.
• Maintain accurate documentation of authorization status in the EMR/practice management system.
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