Retina Prior Authorization Specialist – Fully Remote
Location:
Fully Remote – EST, CST, or MST Only
Pay:
$22–$29/hour, based on experience
Schedule:
Monday–Friday, 8:00 AM–5:00 PM
Employment Type:
Direct Hire
Work Setting:
100% Remote
Time Zone Requirement:
Candidates in the Pacific Time Zone (PST/PDT) are not eligible.
Benefits:
Medical, Dental, Vision, 401K, PTO
Position Overview
Addison Group is hiring for our client, a growing national ophthalmology and retina organization, seeking an experienced
Retina Prior Authorization Specialist
to join its Revenue Cycle team.
This position focuses on obtaining insurance authorizations for
retina-specific treatments and intravitreal injectable medications
, navigating payer requirements, and coordinating with clinical practices to ensure patients receive timely access to treatment.
Recent retina authorization experience is required.
Candidates must have hands-on knowledge of retina medications, insurance authorization processes, and manufacturer copay assistance programs.
Key Responsibilities
Obtain prior authorizations for retina treatments and intravitreal injectable drugs
Submit and track authorization requests through commercial and government insurance portals
Coordinate with retina practices to prevent treatment delays
Complete benefits investigations and verify drug coverage requirements
Navigate manufacturer portals and assist with copay assistance programs
Monitor authorization expiration dates and proactively request renewals
Research authorization issues, payer requirements, and missing documentation
Maintain accurate authorization records within EMR and billing systems
Communicate authorization updates with clinical and Revenue Cycle teams
Stay current on payer guidelines, drug coverage policies, and manufacturer assistance programs
Maintain HIPAA compliance and accurate patient documentation
Qualifications
Recent retina-specific prior authorization experience required
Experience obtaining authorizations for intravitreal injectable medications
Strong understanding of retina treatments, specialty medications, and drug coverage requirements
Experience with commercial insurance, Medicare, and other government payers
Familiarity with manufacturer drug portals, copay assistance, and patient support programs
Comfortable navigating insurance payer portals and researching authorization requirements
Experience tracking and renewing expiring authorizations
Strong attention to detail, organization, and follow-through
Excellent communication and problem-solving skills
Ability to work independently in a fully remote environment
Ideal Candidate
We are looking for someone who already understands the complexities of
retina drug authorizations
and can confidently manage the process from benefits investigation through final approval.
The strongest candidates will be proactive, detail-oriented, and experienced with retina injectable medications, manufacturer assistance programs, and payer-specific authorization requirements.
Why Consider This Opportunity?
100% remote position
$22–$29/hour, based on experience
Direct-hire opportunity with an established national organization
Growing company with opportunities for career advancement
Strong history of promoting employees internally
Competitive benefits and paid time off
Opportunity to specialize in retina Revenue Cycle operations
Remote Work Requirements
Candidates must reside in the Eastern, Central, or Mountain Time Zones.
Candidates located in the Pacific Time Zone will not be considered. Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
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