Procedure Authorization Specialist

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Oversees the authorization processes for upcoming surgical cases on the physicians' schedules.

• Ensures timely and accurate acquisition of surgery authorizations.

• Confirms patient demographic details and verifies insurance eligibility, including coordination of benefits.

• Updates and validates necessary information for the processing of claims to insurance providers.

• Diligently completes the surgical cost analysis form.

• Verifies benefits for all surgical procedures.

• Documents authorizations and tracks the progress of authorizations in the patient’s record.

• Maintains effective communication with physicians, patients, and colleagues.

• Engages in the ongoing training and education of staff members.

• Collaborates with the department manager to address and minimize complaints.

⛳️ Requirements

• High school diploma/GED or equivalent experience preferred.

• At least 2 years of experience in the healthcare industry is required.

• Experience in referrals/authorizations, front office operations, and/or charge posting is preferred.

• Excellent organizational abilities and a strong customer service focus are necessary.

• Proficient in computer use and data entry.

• Familiarity with eligibility, benefits verification, and prior authorizations from various HMOs, PPOs, commercial insurers, and other funding sources.

• Knowledge of computer applications is essential.

🏝️ Benefits

• Health insurance.

• Flexible work arrangements.

• Opportunities for professional development.