Metro Vein Centers · 7 hours ago
Eligibility Specialist
Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. They are seeking a Medical Authorization Specialist to support back-end revenue cycle operations, focusing on obtaining timely prior authorizations for surgical procedures and ensuring proper documentation is in place to avoid delays in patient care.
Health CareHospitalMedicalWellness
Responsibilities
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
Qualification
Required
1–2+ 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
Reliable transportation and availability to work onsite 2–3 days/week in West Bloomfield, MI
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
Metro Vein Centers
Metro Vein Centers offers varicose vein treatment that includes vascular surgery, radiofrequency ablation and laser treatment services.
Funding
Current Stage
Late StageRecent News
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