Prior Authorization Specialist
Resolve Pain SolutionsNew Orleans, LA
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Overview
Schedule
Full-time
Career level
Entry-level
Remote
On-site
Benefits
Health Insurance
Job Description
Louisiana Pain Specialists is looking for a Prior Authorization Specialist to join our pain management team in New Orleans. This full-time position is responsible for obtaining and managing prior authorizations for interventional pain procedures, imaging, and medications, ensuring timely approval under provider direction and insurance requirements.Responsibilities:
- Process prior authorizations – Submit, track, and follow up on prior authorization requests for pain management services including injections (e.g., epidural steroid injections, nerve blocks), radiofrequency ablations, spinal procedures, imaging (MRI/CT), and specialty medications. Ensure all clinical documentation meets payer guidelines.
- Insurance verification and coordination – Verify patient benefits, coverage, and eligibility for pain management services. Coordinate with providers and clinical staff to collect necessary documentation such as office notes, imaging reports, and treatment plans.
- Maintain accurate records – Document all authorization activity, approvals, denials, and payer communication in the electronic medical record (EMR). Monitor authorization timelines to ensure procedures are not delayed.
- Resolve authorization issues – Follow up on pending or denied cases. Assist with appeals by gathering supporting documentation and working with providers and insurance representatives to secure approvals.
- Other duties: – Answer phones, communicate with patients regarding authorization status and scheduling readiness, and assist with front-office or administrative duties as needed. Maintain professionalism and support a fast-paced pain management practice environment.
- Minimum of 1 year of prior authorization experience required (pain management or specialty care preferred)
- High school diploma or equivalent
- Strong understanding of medical terminology, CPT/ICD-10 coding, and insurance authorization processes related to interventional pain procedures
- Excellent communication and organizational skills
- Ability to manage multiple authorizations and meet deadlines in a fast-paced setting
- Experience with EMR systems required
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FAQs About Prior Authorization Specialist Jobs at Resolve Pain Solutions
What is the work location for this position at Resolve Pain Solutions?
This job at Resolve Pain Solutions is located in New Orleans, LA, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Resolve Pain Solutions?
Employer has not shared pay details for this role.
What employment applies to this position at Resolve Pain Solutions?
Resolve Pain Solutions lists this role as a Full-time position.
What experience level is required for this role at Resolve Pain Solutions?
Resolve Pain Solutions is looking for a candidate with "Entry-level" experience level.
What benefits are offered by Resolve Pain Solutions for this role?
Resolve Pain Solutions offers Health Insurance for this position. Actual benefits may vary depending on the employer's policies and employment terms.
What is the process to apply for this position at Resolve Pain Solutions?
You can apply for this role at Resolve Pain Solutions either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.