{"id":3669495,"url":"https://alion.io/job/myva-support-pre-authorization-referral-coordinator","title":"Pre-Authorization & Referral Coordinator","company":{"id":7477,"name":"MyVA Support","domain":"myvasupport.com","url":"https://alion.io/company/myva-support","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":null,"truth_index":null},"role":"Administrative","role_family":"Administrative","seniority":"junior","employment_type":"contractor","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"posting_text","remote_working_hours":null,"hiring_geo_confidence":"explicit","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":null,"salary_estimate":null,"experience_years_min":2,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-11-01T13:07:16Z","employer_posted_date":null,"last_verified_at":"2026-11-01T13:07:16Z","board_verified":false,"closed_at":null,"days_open":7,"trust":{"level":"not_scored","repost_count":null,"flags":[],"days_open":7},"description":"This is a remote position.\nOnly LATAM-based candidates (bilingual in Spanish and English)We are hiring an experiencedPre-Authorization & Referral Coordinatorto support a fast-pacedU.S.-based medical office.\n\nThis role is responsible for insurance verification, prior authorizations, and referral coordination while ensuring compliance with U.S. insurance guidelines. The ideal candidate has direct experience working within the U.S. healthcare system handling Medicare, Medicaid, and commercial insurance plans.\n\nThis is a full-time remote position supporting a medical practice located in the United States. The role is offered as anIndependent Contractoropportunity.\n\nKey Responsibilities\n\nVerify active insurance coverage and review detailed benefits\n\nDetermine patient financial responsibility (copays, deductibles, coinsurance, out-of-pocket maximums)\n\nObtain and manage prior authorizations for procedures, imaging, and specialty services\n\nSubmit and track authorization requests through payer portals (Availity, UHC, Aetna, Cigna, etc.)\n\nReview and attach required clinical documentation\n\nProcess and track internal and external referrals\n\nEnsure compliance with HMO referral requirements\n\nEnter and document authorization details in EMR/EHR systems\n\nFollow up on pending authorizations and assist with resolving denials\n\nCommunicate insurance requirements and authorization status clearly to patients\n\nRequirements\n\n2+ years of experience in a U.S. medical office handling insurance verification and prior authorizations\n\nProven hands-on experience obtaining authorizations independently (not only assisting)\n\nStrong knowledge of Medicare, Medicaid, and commercial plans (HMO, PPO, POS)\n\nSolid understanding of deductibles, copays, coinsurance, and out-of-pocket maximums\n\nWorking knowledge of ICD-10 and CPT codes\n\nExperience using payer portals (Availity, UnitedHealthcare, Aetna, Cigna, etc.)\n\nExperience working with EMR/EHR systems\n\nHigh attention to detail and ability to manage high-volume workflows\n\nStrong English communication skills (written and verbal)\n\nReliable high-speed internet connection (minimum 100 MB)\n\nOwn laptop or desktop and professional headset\n\nBenefits\n\n100% Remote position\n\nFull-time schedule (Monday–Friday)\n\nWeekends off\n\nProductivity bonus of 50 USD (paid in local currency)\n\nReliability bonus of 25 USD (paid in local currency)\n\nConsecutive reliability bonus of 50 USD (paid in local currency)\n\nOriginally posted on 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