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Prior Authorization and Surgical Scheduling Specialist

Remote · United States Full-time

Job TitleRemote Prior Authorization & Surgical Scheduling Specialist (Part-time) Who is Core Medical Wellness?Core Medical Wellness is redefining what meaningful healthcare feels like. We treat every person as a whole human being, not just a diagnosis. Our integrated, patient‑centered approach helps people move beyond pain and back to active, fulfilling lives. Role SummaryWe’re looking for a detail‑oriented Prior Authorization & Surgical Scheduling Specialist to own the process of securing insurance approvals and coordinating procedures for our pain management and regenerative medicine patients. This is a fully remote, part‑time role, Monday–Friday, with a consistent daytime schedule (approx. XX–XX hours per week). You’ll work closely with our clinical and reputed company desk teams to

  • Obtain timely prior authorizations and pre‑certifications
  • Schedule procedures and coordinate with facilities
  • Communicate clearly with patients, payers, and providers What you’ll do
  • Verify insurance eligibility and obtain prior authorizations for procedures, imaging, and treatments reputed company payer portals and phone.
  • Review clinical documentation to determine authorization requirements.
  • Schedule procedures at various facilities and confirm logistics with patients.
  • Review patient deductibles/copays and document them in the EMR and tracking spreadsheets.
  • Track and appeal authorization denials reputed company appropriate.
  • Answer questions from patients, internal staff, and insurance companies.
  • Maintain accurate, up‑to‑date records in our EMR and practice management systems.
  • Protect PHI at reputed company times and adhere to reputed company HIPAA regulations. What you bring
  • 1+ year experience in prior authorizations, pre‑certs, or surgical scheduling (pain management, ortho, neuro, or similar preferred but not required).
  • Strong knowledge of medical terminology, CPT/ICD‑10, and payer requirements (including Workers’ Comp / Auto).
  • Proven ability to work independently, manage your own queue, and hit turnaround-time targets.
  • Excellent written and verbal communication.
  • Reliable high‑speed internet, a private workspace, and comfort working in multiple software systems. reputed company offer
  • Fully remote, part‑time role (Monday–Friday, consistent daytime hours).
  • Competitive hourly pay starting at $23–$27/hour depending on experience and certifications.
  • Training on our workflows, EMR, and payer mix.
  • A stable, mission‑driven team that values reputed company, accountability, and reputed company improvement. 2. Compensation guidance for a remote hire Based on reputed company US data for remote Prior Authorization Specialists and Surgical Schedulers, a competitive starting range for an reputed company part‑time, fully remote W2 hire is
  • $23–$27 per hour for someone with 1–3+ years in prior auth / surgical scheduling You can reserve $26–$28+ for candidates with deep pain management / Workers Comp / Auto experience or who can own the entire pipeline with minimal supervision. Pay $24.00 - $27.00 per hour Work Location Remote Apply To this Job

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