Lead Medical Assistant and Prior Authorization Coordinator

Job Title: Lead Medical Assistant & Prior Authorization Coordinator

Paramount Interventional Pain

Location: Fairmont / Morgantown, WV (I-79 Corridor)

Pay: $21.00 – $24.50 per hour

Job Type: Full-Time (Monday – Friday; core schedule of 30–40 hours per week based on practice volume)

About the Role

Paramount Interventional Pain is an independent, physician-led specialty practice. We are seeking a reliable, self-directed Lead Medical Assistant to manage our daily clinical operations, live incoming phone lines, and procedural prior authorizations.

This is an on-site, weekday position (30–40 hours per week) for an experienced medical professional who excels in an autonomous private-practice environment.

Key Responsibilities

• Phone Reception & Scheduling (Daily M–F Coverage): Answer incoming patient and provider phone calls live with professionalism and efficiency. Schedule consultations, manage patient intake, and coordinate records requests.
• Prior Authorization Pipeline (Core Priority): Independently submit, track, and appeal prior authorizations for interventional spine and joint procedures (e.g., fluoroscopy-guided injections, radiofrequency ablations, peripheral blocks) and specialty medications. Gather clinical notes, imaging, and conservative therapy documentation to secure prompt approvals.
• Coding & Documentation Accuracy: Apply practical working knowledge of CPT and ICD-10 diagnosis coding to verify coverage policies, medical necessity requirements, and pre-authorization submissions.
• Clinical Intake & Back-Office Support: Room patients, record accurate vital signs, reconcile medications, and document chief complaints in the EHR. Ensure all relevant imaging reports (MRI/CT) and records are organized in the chart prior to encounters while upholding strict HIPAA compliance.
• Encounter & Room Preparation: Prep procedure trays, maintain clean and stocked exam/procedure rooms in compliance with OSHA standards, and facilitate smooth daily clinic flow.

Qualifications

• Experience: Minimum 2 years of direct prior authorization experience in an outpatient surgical or musculoskeletal specialty (interventional pain, orthopedics, neurology, PM&R).
• Coding & Billing Knowledge: Working familiarity with CPT and ICD-10 coding, insurance verification, and payer policy guidelines.
• Schedule: Core on-site availability, Monday through Friday (approx. 30–40 hours per week based on clinical flow).
• EHR Proficiency: Experience with cloud-based outpatient EHR systems (Practice Fusion experience is a plus).
• Certifications: Certified Medical Assistant (CMA), Registered Medical Assistant (RMA), or equivalent outpatient clinical experience.
• Background Check: Must be willing to submit to a background check.
• Attributes: High initiative, strong organizational habits, and the ability to work independently without constant direction.

Pay: $21.00 - $24.50 per hour

Expected hours: 30.0 – 40.0 per week

Work Location: In person

Salary : $21 - $25