Job Description

Carolinas Vein & Vascular Solutions is seeking a detail-oriented and highly organized Pre-Authorization & Administrative Support Specialist to assist with front-end insurance processes and general administrative functions. This role will primarily focus on securing prior authorizations for vascular and endovascular procedures, with the added opportunity to assist with medical coding and insurance claims if experienced.

This position requires strong communication and follow-through, particularly with insurance companies and clinical staff. Vascular coding knowledge is highly desirable but not required.

Key Responsibilities:

Clinical Assessment & Diagnosis:

• Maintain and manage prior authorizations for diagnostic tests, imaging, and vascular procedures.
• Collaborate with physicians, clinical staff, and insurance representatives to gather required documentation for approvals.
• Track and follow up on all pending authorizations and ensure timely updates to the clinical team.
• Perform administrative office duties, including document preparation, scanning, filing, and patient follow-up.
• If qualified, assist with insurance coding and billing for vascular procedures.
• Ensure all patient information is handled in compliance with HIPAA regulations and internal policies.
• Assist with other front-office or back-office administrative functions as assigned. Treatment Planning & Procedures:

Qualifications:

Required:

• 1-2 years of administrative or medical office experience.
• Experience working with health insurance prior authorizations or insurance verification.
• Strong attention to detail and organizational skills.
• Excellent verbal and written communication.

Preferred:

• Experience in vascular or surgical pre-authorizations.
• Knowledge of medical coding (CPT, ICD-10) and billing workflows.
• Previous experience working in an outpatient clinic or specialty practice.

Compliance and Regulatory Requirements:

HIPAA Compliance:

• Ensure the confidentiality and integrity of patient information by adhering to HIPAA regulations.

OSHA Compliance:

• Follow safety protocols to prevent workplace injuries and exposure to hazardous materials.

North Carolina State Regulations:

• Comply with all relevant North Carolina healthcare regulations applicable to Pre-Authorization & Administrative Support Specialist and outpatient clinical practice.
• Follow state guidelines for medical records management, documentation standards, and patient care.

Work Environment:

This is an on-site clinical role at Carolinas Vein & Vascular Solutions. The Pre-Authorization & Administrative Support Specialist will work in a collaborative outpatient surgical practice environment and may require sitting for extended periods, using office equipment such as phones, computers, and scanners. Exposure to bloodborne pathogens and other potentially infectious materials is expected; proper personal protective equipment (PPE) is provided and must be used in accordance with OSHA and practice standards.

Physical Requirements:

• Must be able to stand for long periods, walk, and move freely within the clinical environment.
• Ability to stand, walk, and assist patients for extended periods.
• Must be able to lift equipment weighing up to 25 pounds.

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