Pain Management Authorization – Scheduling Coordinator

Job not on LinkedIn

🔥 11 hours ago

🇺🇸 United States – Remote

💵 $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Delaware Valley University

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1896

💼 Consulting

🏥 Healthcare

📚 Education

Consulting • Healthcare • Education

Delaware Valley University is a private university in Doylestown, Pennsylvania focused on experiential, career-oriented education with strong programs in agriculture, life sciences, and applied fields. The university emphasizes hands-on learning through its award-winning Experience360 program, offers undergraduate and graduate degrees (including a Master of Public Health), professional certificates, and strong employer connections that lead to high post-graduation career outcomes. DelVal also supports applied research and industry partnerships in areas like crop science, plant genetics, nutrition, and agricultural innovation.

📋 Description

• Obtain prior authorization and precertification for pain management procedures, diagnostic testing, medications when assigned, and other services requiring payer approval. • Verify insurance benefits, eligibility, authorization requirements, and applicable payer guidelines prior to scheduling procedures. • Submit clinical documentation and authorization requests to insurance carriers and third party utilization management organizations. • Track pending authorization requests and follow up with insurance carriers until a determination is received. • Communicate authorization requirements, denials, requests for additional information, and peer to peer requirements to the physician and clinical staff. • Coordinate additional clinical documentation and assist with authorization-related denials and appeals. • Maintain accurate authorization records, payer communications, and patient medical-record documentation. • Monitor authorization expiration dates and ensure procedures are scheduled within approved timeframes. • Schedule pain management procedures, follow-up appointments, and other physician services. • Coordinate procedure dates with patients, physicians, facilities, and clinical staff. • Provide patients with scheduling information, procedural instructions, and approved appointment information. • Confirm authorization and documentation are complete before scheduled procedures. • Manage cancellations, rescheduling, and changes to the physician's procedural schedule. • Serve as the primary administrative support for the assigned pain management physician. • Manage the physician's administrative schedule and practice-related calendar. • Assist with correspondence, forms, documents, phone calls, meetings, appointments, and other administrative requests. • Coordinate communication among the physician, patients, clinical staff, facilities, referring offices, and departments. • Maintain organized records and follow-up systems for outstanding administrative items. • Monitor work queues and outstanding tasks for timely completion. • Participate in training and maintain knowledge of payer requirements and practice workflows. • Maintain professional communication and perform additional assigned duties.

🎯 Requirements

• High school diploma or equivalent required. • Prior medical office experience preferred. • Experience with insurance verification, prior authorization, precertification, or medical scheduling strongly preferred. • Pain management, orthopedic, spine, or procedural specialty experience preferred. • Familiarity with commercial insurance, Medicare, workers' compensation, and automobile insurance requirements is preferred where applicable. • Strong computer skills and experience working with electronic medical record and practice management systems. • Strong organizational skills with the ability to manage multiple active cases and deadlines simultaneously. • Excellent written and verbal communication skills. • Ability to work independently, prioritize responsibilities, and follow outstanding items through completion. • Strong attention to detail and ability to identify potential scheduling or authorization issues before they affect patient care. • Maintain patient confidentiality and comply with HIPAA and all applicable practice policies.