RX Authorization Coordinator

Company Overview

Summit Spine and Joint Centers (SSJC) is on track to become the largest comprehensive spine and joint care provider in the Southeast while providing clinical and surgical services to our patients. Integrated Pains Solutions, PLLC is the North Carolina division of SSJC with over 11 clinics in North Carolina and growing. We excel in providing quality care to all our patients and are trend set­ters in the field with our multi-modality treatment options and varied care delivery models.

We are seeking qualified individuals to join our team and provide exceptional patient care!

Under general supervision of a licensed provider, as an RX Authorization Coordinator one must be detail oriented with excellent phone call diction and outstanding customer service skills. We are seeking motivated individuals who can problem‑solve and multitask in a fast‑paced practice. Gain skills and knowledge of organizational policies and procedures in support of the department. This job is a full-time, benefited position that reports to the Regional Director of Operations.

• Verify patient insurance eligibility and coverage.
• Ensure patient insurance plans cover the prescribed medication.
• Address insurance medication related patient concerns.
• Maintain organized working files of all authorization requests and enter approved authorizations into the system.
• Coordinate and document all financial responsibilities related to patient deductibles, coinsurance, and copays owed at the time of service.
• Self‑motivate with the ability to multi‑task and prioritize work in a fast‑paced team environment.
• Other duties as assigned.

• Personable and detail oriented as a representative of the practice.
• Excellent verbal and written skills for proper documentation of encounters.
• Comfortable working in a growing organization and able to navigate change.
• Bilingual candidates are encouraged to apply.
• Must be familiar with Medicare and commercial insurances.

• Minimum of 2 years' experience in an outpatient medical office, working in a pre‑authorization/certification role regarding medication.
• Excellent knowledge of CPT coding, ICD‑10 coding and medical pre‑certification protocols required.
• Authorization portal experience required.
• Experience in pain management authorizations required.