Remote Prior Authorization & Surgical Scheduling Specialist

Remote Prior Authorization & Surgical Scheduling Specialist at CORE Medical & Wellness Remote Prior Authorization & Surgical Scheduling Specialist at CORE Medical & Wellness in Orange, New Jersey Posted in 10 days ago.

Type:

work-from-home

Job Description:

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 Summary We'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. 15 - 20 hours per week). You'll work closely with our clinical and front 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 via 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 when 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 all times and adhere to all 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. What we 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 integrity, accountability, and continuous improvement. 2. Compensation guidance for a remote hire Based on current US data for remote Prior Authorization Specialists and Surgical Schedulers , a competitive starting range for an experienced 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.