Senior Authorization Specialist
Metro Vein Centers
Up to $24.00 an hour
Hybrid in West Bloomfield, MI
Healthy legs feel better.
Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our industry-leading team of board-certified physicians is on a mission to meaningfully improve people’s quality of life by relieving the often painful and highly treatable symptoms of vein disease—such as varicose veins and heavy, aching, swollen legs. We currently operate 50+ clinics throughout 7 states with a vision of becoming the go-to vein care choice for patients nationwide.
Metro Vein Centers At-A-Glance
Welcome to vein care done differently.
- We’re the fastest growing vein practice in the US—celebrating more successful organic expansion than our top 5 competitors combined.
- Our proven capital-efficient, de novo growth strategy has enabled us to open 30+ clinics in the last two years, funded entirely through positive cash-flow.
- Our differentiated brand and sophisticated digital marketing strategy fuels our rapid expansion.
- Our physicians are empowered to solely focus on patient-care, with full admin and clinical staff support, marketing and patient experience best practices, and end-to-end Revenue Cycle Management all powered by Metro Vein Centers HQ.
- We proudly maintain both a best-in-class physician retention rate and an NPS of 93 across 150,000 annual patient visits—the highest patient satisfaction in the industry.
How You’ll Make a Difference:
This position demands…
- Coordinate and obtain prior authorizations for all vein-related surgical procedures from commercial, Medicare, Medicaid, and managed care payers.
- Review medical records and clinical documentation to ensure medical necessity criteria are met for requested procedures.
- Communicate effectively with insurance carriers, physician offices, and clinical staff to resolve authorization issues or denials.
- Maintain current knowledge of insurance guidelines and pre-certification requirements for vein procedures.
- Ensure accurate and timely data entry into EHR and practice management systems (Athenahealth).
- Track and follow up on outstanding authorizations and appeals, escalating as needed. ? Train new authorization specialists or administrative staff on vein-specific procedures and payer requirements.
- Provider training and education to current Authorization Specialists.
- Assist in maintaining compliance with HIPAA, payer policies, and internal workflow standards. ? Collaborate with the RCM leadership to prevent authorization-related denials and support appeals if necessary.
Competencies:
- Minimum 3-5 years of experience in medical insurance authorization, with a focus on vein surgery or vascular procedures.
- Strong knowledge of CPT, ICD-10 codes, and payer authorization protocols specific to vein treatments.
- Familiarity with common vein procedures: Endovenous Laser Therapy (EVLT), Radiofrequency Ablation (RFA), Sclerotherapy, Ambulatory Phlebectomy, Varithena, and VenaSeal.
- Proficiency with EMRs and billing systems.
- Excellent communication, problem-solving, and follow-through skills.
- Ability to work in a fast-paced environment with a high degree of accuracy and attention to detail.
Required Education and Experience
- Minimum 3-5 years of experience in medical insurance authorization, with a focus on vein surgery or vascular procedures.
Preferred education and experience
- Experience with Athena Practice
