Medical Authorization Specialist

Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our board-certified physicians and expert staff are on a mission to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs. With over 70 clinics across 8 states , and still growing, we’re building the future of vein care—delivering compassionate, results-driven care in a modern, patient-first environment. We proudly maintain a Net Promoter Score (NPS) of 93 , the highest patient satisfaction in the industry. About the Role Metro Vein Centers is seeking a detail-oriented Medical Authorization Specialist to support our surgical authorization and front-end revenue cycle operations. This role is responsible for obtaining prior authorizations for medically necessary surgical procedures, reviewing clinical documentation for payer compliance, and helping ensure patients can move forward with care without unnecessary delays or denials. The ideal candidate has prior experience working with insurance portals, surgical authorizations, medical necessity documentation, and payer guidelines in a fast-paced healthcare environment. This is not an entry-level administrative role — success in this position requires strong critical thinking, urgency, attention to detail, and a solid understanding of insurance authorization workflows. This is a fully remote role supporting Metro Vein Centers’ growing national operations. The ideal candidate is highly organized, detail-oriented, and comfortable working independently in a fast-paced, high-volume authorization environment. What Your Day Looks Like Submitting prior authorizations for medically necessary procedures Reviewing patient charts and clinical documentation for payer requirements Working within insurance portals such as Availity throughout the day Following up on authorization requests, denials, and additional documentation needs Communicating with payers, providers, and clinical teams to resolve authorization issues Updating authorization status and detailed notes within the EMR system Managing multiple cases simultaneously while maintaining accuracy and turnaround times What You’ll Do Submit and manage prior authorization requests for surgical and procedural services Review patient charts and supporting documentation to ensure medical necessity requirements are met Work directly within payer portals including Availity to process and track authorization requests Follow up on pending authorizations, denials, and requests for additional clinical information Communicate with insurance companies, providers, and internal departments to resolve authorization-related issues Maintain accurate authorization documentation and case notes within the EMR system Monitor payer guidelines and authorization requirements to help reduce denials and delays in patient care Support a high-volume work environment while maintaining strong attention to detail and productivity standards What You’ll Bring Ability to work independently and maintain productivity in a fully remote environment Strong understanding of medical prior authorizations, insurance verification, and payer guidelines Experience working with surgical authorizations and medical necessity documentation Comfortable navigating payer portals such as Availity and EMR systems Strong organizational skills and ability to manage multiple cases and deadlines simultaneously Excellent communication and collaboration skills when working with payers, providers, and operational teams High attention to detail and documentation accuracy Ability to work independently while contributing to a team-oriented revenue cycle environment Education & Experience High school diploma or equivalent required 1–2+ years of prior authorization experience in a medical, surgical, outpatient, specialty practice, or healthcare revenue cycle environment required Experience with insurance portals, authorization workflows, and payer follow-up required Centricity / Athena experience preferred Prior experience with vascular, surgical, radiology, orthopedic, pain management, cardiology, or specialty procedure authorizations strongly preferred This Role Is Great For Candidates With Experience In: Prior Authorizations Surgical Authorizations Insurance Verification Medical Necessity Review Front-End Revenue Cycle Patient Access Healthcare Billing Support Specialty Medical Practices Outpatient Surgery Centers Medical Insurance Follow-Up Referral & Authorization Coordination Healthcare Administration Schedule & Location Fully remote position Standard business hours Monday–Friday Candidates must have reliable internet access and a distraction-free remote work environment Benefits to Support Your Wellbeing & Lifestyle Full-time team members at Metro Vein Centers are eligible for: Medical, Dental, and Vision Insurance 401(k) with Company Match Paid Time Off (PTO) + Paid Company Holidays Company-Paid Life Insurance Short-Term Disability Insurance Employee Assistance Program (EAP) Career Growth & Development Opportunities Compensation Starting at $20/hour and up based on experience The Metro Vein Centers Difference Healthy legs. Happier lives. At Metro Vein Centers, we believe exceptional care begins with an exceptional experience. Our mission is to make vein care approachable, empowering, and connected to overall well-being. From the first conversation to the final follow-up, every patient interaction reflects our commitment to compassion, expertise, and trust. A team united by purpose. Our values guide everything we do: Patients First, Always – Every interaction should make our patients feel valued, heard, and cared for. Stronger Together – Teamwork and collaboration drive our success. We lift each other up to deliver the best for our patients. A Can-Do Spirit – We meet every challenge with positivity, flexibility, and problem-solving energy. Results That Make a Difference – We’re driven to improve lives through meaningful, measurable outcomes. Commitment to Growth – We invest in our people, fostering advancement and professional development at every level. Metro Vein Centers is an Equal Opportunity Employer. We’re committed to creating a workplace where everyone feels seen, heard, and supported. We do not discriminate based on race, color, religion, sex, national origin, age, disability, genetics, gender identity or expression, sexual orientation, veteran status, or any other protected status in accordance with applicable federal, state, and local laws. This policy applies to all aspects of employment, including recruitment, hiring, promotion, compensation, benefits, and termination. Legal & Compliance Notice: Metro Vein Centers complies with all applicable federal, state, and local employment laws, including those related to nondiscrimination, equal opportunity, and pay transparency. Where specific disclosures or postings are required by law, we provide this information as part of our hiring process or upon request. Your privacy matters. 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