Role Description
We are seeking a
Medical Authorization Specialist
to support our back-end revenue cycle operations. This role focuses on obtaining timely prior authorizations for surgical procedures and ensuring proper documentation is in place to avoid delays in patient care.
• Submit and manage prior authorization requests for surgical procedures
• Review patient charts and ensure medical necessity documentation meets payer requirements
• Monitor and respond to insurance denials or additional documentation requests
• Communicate directly with payers, clinical staff, and other departments to resolve issues
• Update authorization status in the EMR (Centricity) and maintain accurate internal records
• Use online insurance portals (e.g., Availity) to process and track authorizations
• Support a high-volume environment while maintaining attention to detail and deadlines
Qualifications
• 3-4+ years of prior authorization experience in a medical or surgical setting
• Strong familiarity with insurance portals, especially Availity
• Understanding of medical necessity requirements and surgical documentation
• Comfort navigating EMRs and entering detailed case notes (Centricity experience is a plus)
• Strong communication and collaboration skills
• High school diploma or equivalent required
Benefits
• 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
Company Description
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 60 clinics across 7 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.