Patient Care Coordinator – US Prior Authorization (Spine & Pain Management) | Remote (India)

Location: Remote (India)

Employment Type: Full-Time

Please Read Before Applying

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This position is not suitable for freshers or candidates without hands-on US healthcare experience. *

We are specifically looking for candidates who have independently handled prior authorizations using Availity and other US insurance payer portals. Candidates without this experience will not be shortlisted.

If you have 2+ years of experience in a US medical practice, strong EHR knowledge, a background in Life Sciences (BDS, B.Pharm, MBBS, Nursing, Physiotherapy, or related healthcare disciplines), excellent communication skills, and are comfortable working in a technology-driven environment, we'd love to hear from you.

Key Responsibilities

• Independently submit, track, follow up, and obtain prior authorizations through Availity and other US insurance payer portals.
• Handle prior authorizations for spine surgeries, spinal injections, and related procedures.
• Coordinate with insurance companies, physician offices, and patients to resolve authorization-related issues.
• Manage referrals and coordinate with referring providers.
• Schedule, reschedule, confirm, and coordinate patient appointments.
• Handle inbound and outbound patient calls using RingCentral.
• Configure and manage RingCentral settings as required.
• Manage and update patient information within eClinicalWorks (eCW), Epic, and other EHR platforms.
• Prepare provider schedules and calendars.
• Order laboratory tests and medication refills as directed.
• Prepare reports, trackers, dashboards, and documentation using Microsoft Excel, Adobe PDF, and other productivity applications.
• Prepare credentialing packets for providers and healthcare facilities.
• Monitor, organize, and process incoming faxes accurately.
• Manage shared email inboxes and ensure timely responses and follow-ups.
• Track pending tasks and workflows to completion.
• Contact patients, providers, insurance companies, and healthcare facilities by phone and email and other applications.
• Analyze patient lists to identify preventive care opportunities and pending actions.
• Upload, scan, and organize documentation within EHRs and other applications.
• Support physicians and facilities with additional administrative and operational responsibilities.
• Maintain strict compliance with HIPAA and organizational standards.

Mandatory Qualifications

• Degree in Life Sciences (BDS, B.Pharm, MBBS, Nursing, Physiotherapy, or related healthcare discipline).
• Minimum 2 years of experience in a US medical office.
• Strong hands-on experience with Availity and other US insurance payer portals.
• Experience independently managing prior authorizations from submission through approval.
• Experience with spine, pain management, orthopedic, or procedural prior authorizations preferred.
• Experience managing referrals, patient scheduling, and clinical workflows.
• Strong working knowledge of eClinicalWorks (eCW), Epic, or similar EHR systems.
• Experience using RingCentral or similar cloud telephony platforms.
• Excellent spoken and written English.
• Strong attention to detail, organization, and multitasking ability.

Technology Requirements

The ideal candidate should:

• Be a confident user of Microsoft Excel, Adobe PDF, and web-based applications.
• Already use AI tools in day-to-day work to improve productivity, communication, documentation, and workflow efficiency.
• Be able to independently adopt and effectively use new software with minimal supervision.
• Be comfortable working in a fast-changing technology environment.

Work From Home Requirements

Applicants must have:

• A reliable laptop or desktop computer with a processor less than 3 years old.
• High-speed broadband internet.
• Reliable power backup.
• A quiet, professional workspace suitable for handling patient calls.

Working Hours

• Monday to Friday.
• 10-hour shift (US Central Time Zone), including a 1-hour break.
• Work hours may occasionally extend depending on client requirements.
• There may occasionally be a requirement to work 1–2 hours on Saturdays or Sundays to support urgent practice needs.

What We Offer

• Competitive compensation with opportunities for growth.
• 100% remote work environment.
• Supportive and collaborative team culture.
• Opportunity to work directly with leading US physician practices using modern healthcare technology and AI-enabled workflows.

If you meet the above requirements and are looking for a long-term career in US healthcare operations, we'd love to hear from you.