Prior Authorization Specialist

Louisiana Pain Specialists is looking for a Prior Authorization Specialist to join our pain management team in New Orleans. This full-time position is responsible for obtaining and managing prior authorizations for interventional pain procedures, imaging, and medications, ensuring timely approval under provider direction and insurance requirements.

Responsibilities

Process prior authorizations – Submit, track, and follow up on prior authorization requests for pain management services including injections (e.g., epidural steroid injections, nerve blocks), radiofrequency ablations, spinal procedures, imaging (MRI/CT), and specialty medications. Ensure all clinical documentation meets payer guidelines. Insurance verification and coordination – Verify patient benefits, coverage, and eligibility for pain management services. Coordinate with providers and clinical staff to collect necessary documentation such as office notes, imaging reports, and treatment plans. Maintain accurate records – Document all authorization activity, approvals, denials, and payer communication in the electronic medical record (EMR). Monitor authorization timelines to ensure procedures are not delayed. Resolve authorization issues – Follow up on pending or denied cases. Assist with appeals by gathering supporting documentation and working with providers and insurance representatives to secure approvals. Other duties: – Answer phones, communicate with patients regarding authorization status and scheduling readiness, and assist with front-office or administrative duties as needed. Maintain professionalism and support a fast-paced pain management practice environment.

Requirements

Minimum of 1 year of prior authorization experience required (pain management or specialty care preferred) High school diploma or equivalent Strong understanding of medical terminology, CPT/ICD-10 coding, and insurance authorization processes related to interventional pain procedures Excellent communication and organizational skills Ability to manage multiple authorizations and meet deadlines in a fast-paced setting Experience with EMR systems required Ability to work effectively in a team while maintaining strict confidentiality