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Job Description About Us: Groth Pain and Spine is Long Island's number one pain management practice because we value our team and treat everyone as valuable individuals. We have high standards and expect a great work ethic with patient centered values. We believe in going the extra mile for the patients we serve and the people who work for us! As a more modern practice we focus on teamwork, collaboration, and proactive problem solving so that we are always ahead of the game and building together. About the Role: The Authorization Specialist - Pain Management plays a critical role in ensuring that patients receive timely and appropriate access to pain management treatments by efficiently managing insurance authorizations and approvals. This position involves close collaboration with healthcare providers, insurance companies, and patients to navigate complex insurance requirements and expedite the authorization process. The specialist will be responsible for verifying patient insurance benefits, submitting prior authorization requests, and following up on pending approvals to minimize delays in care. By maintaining accurate records and staying current with insurance policies and pain management protocols, the specialist helps optimize patient outcomes and supports the clinical team’s ability to deliver effective pain management solutions. Ultimately, this role contributes to the seamless coordination of care and enhances patient satisfaction by reducing administrative barriers to treatment. Minimum Qualifications: • High school diploma or equivalent; Associate’s degree or higher preferred., • Minimum of 2 years experience in medical insurance authorization, preferably within pain management or related healthcare fields., • Must Understand No Fault and Workers Comp, • Strong knowledge of insurance plans, prior authorization processes, and medical terminology related to pain management., • Proficiency with electronic health records (EHR) systems and insurance portals., • Bachelor’s degree in healthcare administration, nursing, or related field., • Experience working specifically with pain management clinics or departments., • Familiarity with coding systems such as CPT, ICD-10, and HCPCS related to pain management services., • Certification in medical billing, coding, or healthcare administration., • Review and verify patient insurance coverage and benefits related to pain management services., • Prepare, submit, and track prior authorization requests for medications, procedures, and therapies specific to pain management., • Communicate effectively with insurance companies to resolve denials, appeals, and requests for additional information., • Collaborate with healthcare providers and clinical staff to gather necessary documentation and ensure compliance with payer requirements., • Maintain detailed records of authorization requests, approvals, denials, and appeals to support audit readiness and reporting., • Educate patients and providers on insurance policies and authorization processes to facilitate understanding and compliance. The Authorization Specialist utilizes strong communication skills daily to interact with insurance representatives, healthcare providers, and patients, ensuring clear and effective information exchange. Analytical skills are essential for reviewing insurance policies, interpreting medical documentation, and identifying the correct authorization pathways. Organizational skills are critical for managing multiple concurrent authorization requests, tracking their status, and maintaining accurate records to support compliance and reporting. Proficiency with electronic health records and insurance portals enables the specialist to submit and monitor requests efficiently, reducing turnaround times. Additionally, problem-solving skills are frequently applied to address denials or incomplete information, facilitating appeals and ensuring patients receive necessary pain management treatments without unnecessary delays.

Job Description The Stony Brook School is a distinguished independent, faith-based boarding and day school serving students in grades 7-12. We are committed to whole-person education-intellectual, physical, and spiritual. We seek a mission-aligned and highly qualified medical professional to help oversee the health, safety, and well-being of our diverse student community. Position Overview The Stony Brook School is seeking a School Medical Director (MD or Nurse Practitioner) to provide clinical leadership, oversight, and consultative support for our Health Center. This individual will work closely with the Director of Health and Wellness (RN) to coordinate student healthcare, ensure regulatory compliance, and support the overall health needs of our boarding and day students. This is a contracted, part-time Independent Contractor role and not an employee position. The service term runs from December 1, 2025, through May 23, 2026, with no guarantee of renewal. Key Responsibilities Clinical Oversight & Student Care • Serve as Health Care Provider for boarding students; provide same-day appointments Monday-Friday for student illness, injuries, or immunization issues., • Be available for emergency telephone consultation for the School Health Center., • Conduct medical evaluations and provide follow-up care for bloodborne pathogen exposure incidents as required by OSHA., • Work closely with the Director of Health and Wellness (RN) on matters of student health and treatment plans., • Make in-person visits to the Health Center as requested by the Director of Health and Wellness., • Ensure compliance with New York State health regulations, school health policies, and best practices for school healthcare settings., • Serve as Medical Director for the school's AED Program., • Oversee and review the school's concussion policy., • Provide weekday office appointments at approximately 10:00 a.m. and emergency availability during the day (with reasonable scheduling flexibility)., • Arrange for a covering physician/NP during absences., • Medical Doctor (MD/DO) or licensed Nurse Practitioner (NP) in New York State., • Active license in good standing; ability to provide proof of licensure., • Experience working with children or adolescents is preferred., • Professional office must be located within a 10-mile radius of The Stony Book School, • Strong communication, clinical judgment, and an ability to collaborate effectively with nursing staff, school leadership, and families., • Familiarity with NYS Department of Education health requirements is a plus. This is an Independent Contractor position. The Medical Director: • Not eligible for employee benefits., • Must maintain appropriate malpractice and liability coverage., • Receives:, • A one-time retainer fee of $3,000, • $57 per student visit, unless billed through accepted insurance, • Compensation for physicals and screenings per established billing rates Job Posted by ApplicantPro

Job DescriptionAbout Us Groth Pain and Spine is Long Island's number one pain management practice because we value our team and treat everyone as valuable individuals. We have high standards and expect a great work ethic with patient centered values. We believe in going the extra mile for the patients we serve and the people who work for us! As a more modern practice we focus on teamwork, collaboration, and proactive problem solving so that we are always ahead of the game and building together. Position Summary The Care Coordination Manager oversees all scheduling, insurance verification, and authorization operations for the pain management department. This leader is responsible for managing a team of Surgery Schedulers, Verification Specialists, and Authorization Specialists, ensuring accurate and timely scheduling of in-house procedures, hospital cases, ASC procedures, and same-day add-ons. The manager ensures efficient workflow, accurate documentation, high-quality patient communication, and compliance with insurance and facility requirements. This role is critical in supporting seamless patient care, maximizing provider productivity, and maintaining financial and operational integrity. Key Responsibilities * Supervise and support teams including: * Surgery Schedulers * Insurance Verification Specialists * Authorization Specialists * Provide training, coaching, performance evaluations, and ongoing development. * Establish clear performance metrics for scheduling accuracy, authorization turnaround time, and patient communication standards. * Monitor workloads and redistribute tasks to ensure timely completion of all scheduling and authorization needs. * Oversee all scheduling for: * In-house pain procedures (injections, RFAs, stim trials, nerve blocks, fluoroscopic procedures). * Hospital surgeries and interventional pain procedures requiring OR-level care. * ASC (Ambulatory Surgery Center) procedures. * Urgent same-day add-ons and schedule adjustments. * Ensure accurate communication between schedulers, hospitals, ASCs, anesthesia teams, and providers. * Develop and enforce standardized protocols for procedure scheduling, prep requirements, and documentation. * Oversee verification of insurance benefits for all scheduled procedures and appointments. * Manage and optimize authorization workflows to ensure approvals are obtained accurately and on time. * Ensure correct CPT/ICD-10 codes are used and communicated between teams. * Monitor authorization denials and collaborate with billing to address issues. * Implement quality checks to prevent scheduling patients without proper verification or authorization. QualificationsEducation & Experience * Minimum 3–5 years of medical office experience in scheduling, authorizations, or related operations required. * Experience with pain management, surgical scheduling, or high-volume clinical operations highly desirable. * Working knowledge of CPT/ICD-10 coding, insurance requirements, and authorization workflows. * Strong understanding of Workers comp and No Fault Skills & Competencies * Strong leadership and team-building skills. * Excellent communication (verbal and written). * Ability to multitask and manage competing priorities in a fast-paced environment. * Strong organizational, analytical, and problem-solving skills. * Proficiency with EMR/EHR and scheduling systems. * High attention to detail and ability to maintain accuracy under pressure. * Ability to handle sensitive patient interactions with patience and professionalism.