Insurance/ Prior Authorization Specialist-Part Time

Description

Job Title:

Part Time Insurance / Prior Authorization Specialist with Front Desk Coverage

Location:Primary – Holly Springs, NC (ECPC Holly Springs Interventional Pain and Spine)

Occasional coverage at Apex and Knightdale locations as needed

Status: Part-Time, Non-Exempt

Department: Administrative – ECPC Holly Springs Interventional Pain and Spine

Reports To: Practice Manager, ECPC Holly Springs

Supervisory Responsibilities: None

Schedule: Approximately 20 hours per week

Position Summary

At ECPC Pain Specialists Holly Springs, we are dedicated to providing exceptional care guided

by our core values of compassion, integrity, and teamwork. We are currently seeking a

detail-oriented, reliable, and patient-focused Insurance / Prior Authorization Specialist to join

our administrative team in Holly Springs, NC.

This individual will play a critical role in ensuring patients receive timely and appropriate care by

managing prior authorizations for medications, imaging, and procedures, as well as conducting

insurance verifications. The ideal candidate will also provide occasional front desk coverage and

support our team in fostering a welcoming and efficient environment for patients and staff alike.

This is an excellent opportunity for someone who thrives in a dynamic clinical setting, is

tech-savvy, and values collaborative work with a purpose-driven team.

Key Responsibilities

• Obtain, review, and submit prior authorizations for medications, diagnostic imaging
  
  

(including MRIs), and in-office and outpatient pain procedures.

• Verify insurance coverage and eligibility, including Medicare and Medicaid, and interpret
  
  

benefit information for both patients and staff.

• Navigate and utilize Electronic Medical Records (EMR) systems (eClinicalWorks) to
  
  

accurately document and retrieve insurance and patient information.

• Collaborate with clinical and administrative teams to ensure timely scheduling of
  
  

procedures and appointments.

• Handle appeals and denials processes with insurance providers, demonstrating
  
  

persistence and advocacy for patient care.

• Provide courteous and professional phone and in-person communication with patients
  
  

regarding authorizations, benefits, and billing inquiries.

• Serve as back-up front desk receptionist as needed—checking in patients, collecting
  
  

insurance information, answering phones, and maintaining a positive patient experience.

• Assist with general office support, including preparing rooms, assisting with billing
  
  

inquiries, and other administrative duties as assigned.

Qualifications

Education & Experience:

• High school diploma or equivalent required.
• Minimum of 2 years' experience in insurance verifications and prior authorizations.
• Experience in pain management or a specialty practice is strongly preferred.
• At least 2 years of hands-on experience using EMR systems.
• Strong working knowledge of medical terminology, CPT codes, and various insurance
  
  

plans.

Required Skills & Attributes

• Demonstrates compassion and professionalism in all patient and team interactions.
• Exhibits integrity through accurate, honest, and confidential handling of patient
  
  

information.

• Embraces teamwork by being a dependable, adaptable, and proactive contributor to the
  
  

clinical team.

• Excellent organizational, multitasking, and communication skills.
• Highly dependable with the ability to prioritize tasks in a fast-paced environment.
• Positive attitude and strong sense of accountability.
  
  

Work Environment & Physical Requirements

• Work is performed in a clinical office setting.
• Frequent interaction with physicians, clinical staff, and administrative team members.
• Must be able to manage routine interruptions and shift priorities as needed.
• Occasional travel to Apex and Knightdale locations for coverage support may be
  
  

required.

ECAA is an equal opportunity employer. We are committed to fostering a diverse and

inclusive workplace and do not discriminate on the basis of age, race, color, religion,

sex, national origin, genetic information, disability, or any other protected status under

the law.