Prior Authorization Specialist - Procedures

Healthcare shouldn’t be something you worry about when taking care of your family.

That’s why when you join Redirect Health, your healthcare costs nothing out of your paycheck—and the same is true for your spouse and children.

• No monthly premiums
• No deductibles
• No surprise medical bills

Most team members avoid tens of thousands of dollars in healthcare costs compared to traditional health plans.

This isn’t a perk.
It’s part of our mission.

Redirect Health exists to make healthcare affordable for small businesses and people who can’t afford traditional employer insurance.

We help real people navigate a system that is often confusing, expensive, and frustrating—and we do it with empathy, accountability, and simplicity.

If you want your work to matter to families every single day, you’ll find purpose here.

At Redirect Health, our values guide how we show up for each other, our clients, and our members.

We do our best work when we:

Obsess Over People
We are always helpful, friendly, and human.

Own It to Completion
If we take something on, we see it through.

Always Improve & Adapt
We learn quickly and adjust without ego.

Always Start with “Yes, We Can Help You”
We lead with solutions and figure out the rest.

Succeed as a Team
We win together through trust and collaboration.

Detest Waste & Unnecessary Complexity
We remove friction so we can focus on what truly helps people.

If these values resonate with you, you’ll feel at home here.

The Prior Authorization Specialist - Procedures exists to advocate for Redirect Health members by coordinating surgical care, managing costs, and ensuring high-quality outcomes at fair, negotiated rates.

In this role, you will:

• Serve Redirect Health members navigating surgical procedures
• Be responsible for coordinating surgical care, negotiating costs, and advocating on behalf of members
• Directly impact member confidence, access to care, and affordability within the healthcare system

This is a hands-on role for someone who:

• Enjoys advocacy, coordination, and problem-solving in complex healthcare situations
• Takes ownership and follows through
• Wants their work to have a real-world impact on people’s lives and health

In this role, you will:

• Own: Surgical coordination from intake through completion, including timelines and communication
• Support: Members by prioritizing their needs with compassion and clarity
• Collaborate with: Internal providers, hospitals, surgical facilities, anesthesiologists, and external provider offices
• Improve: Cost management, care coordination efficiency, and member experience
• Advocate for: Members by negotiating fair and equitable rates with providers

A strong performer in this role is known for:

• Building trust with members during high-stress healthcare moments
• Communicating clearly and confidently with providers and facilities
• Consistently meeting or exceeding KPIs tied to coordination and advocacy goals

Success in this role is measured by:

• Timely and effective coordination of surgical care
• Successful negotiation of fair procedural costs
• Member satisfaction and confidence throughout the surgical process
• Achievement of coordination, cost-management, and advocacy KPIs

We’re looking for someone who:

• Brings relevant experience in healthcare administrative support or case management
• Communicates clearly and with empathy
• Takes ownership and follows through
• Uses analytical and decision-making skills to navigate complex care scenarios
• Works well across teams and external partners
• Cares deeply about advocating for patients

• High School Diploma or GED, required
• 1 year of experience in a healthcare administrative support or case management-related role, required
• Medical billing background, preferred
• Proficiency in Microsoft Word, Excel, and an EMR system, preferred

What “Free Healthcare” Actually Means

When we say free, we mean no money out of your paycheck and no cost when you need care:

• No monthly premiums
• No cost to add your spouse or children
• No deductibles (we reimburse them)
• No out-of-pocket maximums

This benefit alone can save families tens of thousands of dollars.

• Starting pay: $23.88/hour
• FREE healthcare for you and your entire family
• Dental & Vision insurance
• Paid time off & sick time
• 401(k) access
• A mission-driven team that believes in doing the right thing

If you’re looking for more than just a job—and want to help reshape how healthcare works for families—we’d love to hear from you.

Redirect Health is an Equal Opportunity Employer (EOE). Employment with Redirect Health is at-will. Nothing in this job posting or the application process creates a contract or guarantee of employment. Please note this job description is not designed to contain a comprehensive listing of activities, duties, or responsibilities required for this role. Duties, responsibilities, and activities may change at any time with or without notice. Redirect Health does not provide employment-based visa sponsorship now or in the future for this position. Applicants must be currently authorized to work in the United States without sponsorship.