Surgery Authorization and Insurance Benefits Specialist

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

📋 Description

• Acquire and validate insurance benefits and eligibility for planned surgical procedures.

• Clearly articulate surgical benefits for each individual case.

• Contact patients to clarify in-network and out-of-network coverage options.

• Assess when prior authorization is necessary.

• Secure prior authorizations and any required surgical clearances from payers.

• Collect and analyze payer fee schedules and reimbursement for procedures.

• Utilize Availity and UHC payer portals and communication lines.

• Manage payer and patient inquiries regarding benefits and authorizations.

• Record benefits, authorizations, and clearance activities in Dr. Chrono and HST.

• Communicate effectively with patients, especially within an older demographic.

• Occasionally arrange surgeries when necessary.

• Adhere to the practice’s training materials and workflows related to benefits and authorizations.

⛳️ Requirements

• Proficient in clear, patient-friendly English, both spoken and written.

• Neutral accent that is easily comprehensible to patients.

• Practical experience with surgical authorizations and insurance benefits.

• Ability to discern when prior authorization is necessary.

• Strong understanding of both in-network and out-of-network benefits.

• Comfortable navigating payer portals and making calls to payers.

• Excellent listening skills.

• Meticulous attention to detail.

• Friendly and professional demeanor with patients.

• Eagerness to learn specific terminology and workflows related to the practice.

• Dependability and professionalism in a HIPAA-compliant setting.

• Relevant experience with Dr. Chrono, HST, Availity, UHC, Weave AI soft phone, or similar systems is advantageous for this role.

🏝️ Benefits

• Competitive hourly wage.

• Consistent and timely payments.

• Payments processed through Wise.

• Direct training provided by the client.

• Dedicated Account Manager as your primary contact.

• Stable, long-term position with a growing U.S.-based company.

• Exposure to a diverse array of modern SaaS platforms.

• Opportunity for expanded responsibilities as the company grows.

• Recognition for tenure among long-serving team members.

• Clear pathways for escalation.

• Fully remote — work from the comfort of your home.

• Potential for additional hours or accounts contingent on performance.

• Enhance your U.S. industry experience.

• Gain exposure to various practice types and platforms.

• Strengthen your resume with verified, legitimate experience from U.S. clients.