Cliniqon LLC
- We are seeking an experienced and detail-oriented Pain Management Pre-Authorization Specialist / Administrative Support Professional to join our healthcare team. The ideal candidate will have extensive experience managing pre-authorizations within Pain Management, Sports Medicine, and Ambulatory Surgery Center (ASC) settings while providing exceptional administrative support. This role requires strong insurance knowledge, excellent organizational skills, and the ability to work independently in a fast-paced environment. Responsibilities - Pre-Authorization Management - Review patient demographics, diagnosis codes, and procedure codes to ensure accurate authorization submissions - Obtain pre-authorizations through insurance carrier phone calls, online portals, and other available resources - Track authorization requests and follow up proactively to ensure timely approvals - Communicate authorization status updates to providers, staff, and patients as needed - Maintain compliance with payer-specific authorization requirements and guidelines - Insurance Verification - Verify patient insurance benefits, coverage, and eligibility prior to services - Identify authorization requirements and coverage limitations - Resolve insurance-related issues through direct communication with payers - Administrative Support - Manage, organize, and distribute patient records, reports, and supporting documentation - Maintain accurate data entry and record management processes - Provide calendar management, scheduling, and coordination support - Handle inbound and outbound calls professionally and efficiently - Assist with general administrative tasks to support daily operations - Coordination \& Communication - Collaborate with healthcare providers, insurance companies, surgery centers, and internal team members - Ensure all required documentation is obtained and submitted promptly - Follow up on pending authorizations, appeals, and insurance inquiries - Support seamless patient care by ensuring timely authorization approvals and documentation processing - Why Cliniqon? - Permanent work-from-home - Retention bonus - Performance bonus - Immense growth opportunities - Company-provided assets - HMO coverage - Many more benefits Requirements - Proven experience in Pain Management Pre-Authorization - Experience supporting Sports Medicine and Ambulatory Surgery Center (ASC) practices - Strong knowledge of insurance benefits verification , eligibility determination, and authorization processes - Hands-on experience with DrChrono EMR - Strong understanding of medical terminology, CPT codes, ICD-10 codes, and insurance authorization requirements - Ability to work independently while effectively managing multiple priorities and deadlines - Experience in healthcare administrative support and documentation management - Excellent problem-solving, critical thinking, and follow-up skills - Strong verbal and written communication skills - High level of accuracy and attention to detail - Willing to work night shifts (U.S. business hours) - Must be able to start immediately Preferred Skills - Experience working remotely in a healthcare environment - Knowledge of multiple commercial and government insurance plans - Experience managing high-volume authorization workloads - Strong multitasking and time-management abilities - Ability to maintain confidentiality and HIPAA compliance What We're Looking For - The successful candidate is proactive, highly organized, and capable of taking ownership of the authorization process from start to finish. You thrive in a fast-paced healthcare environment, have exceptional follow-through skills, and are committed to ensuring patients receive timely access to care. - Apply today if you have proven Pain Management, Sports Medicine, and ASC pre-authorization experience and are ready to make an immediate impact. - email your resume to aalvior@cliniqon.com Benefits - Health insurance - Life insurance - Opportunities for promotion - Paid training - Pay raise - Promotion to permanent employee - Work from home Application Question(s): - Do you have proven experience handling pre-authorizations specifically in a Pain Management practice? - Have you worked with Sports Medicine and/or Ambulatory Surgery Center (ASC) pre-authorization processes? - Do you have hands-on experience using DrChrono EMR for patient management, documentation, or authorizations? - Are you experienced in insurance verification, benefits eligibility checks, and obtaining authorizations from commercial and government payers? - Are you available to work night shifts aligned with U.S. business hours and able to start immediately? - Work Location: Remote
Cliniqon LLC
