Prior Authorization and Surgical Scheduling Specialist

Job Title:Remote Prior Authorization & Surgical Scheduling Specialist (Part-time) 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 SummaryWe’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. XX–XX 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. Pay: $24.00 - $27.00 per hour Work Location: Remote Apply tot his job Apply To this Job