Surgical Authorization Specialist- REMOTE (Must live in AZ Time zone)
Remote · Phoenix, Arizona, United States
Job Summary
Surgical Authorization Specialist responsible for monitoring and securing authorizations for upcoming surgical cases, verifying patient demographics and insurance eligibility, completing surgical cost analyses, and maintaining accurate documentation in case management systems. Requires effective communication with physicians, patients, and colleagues; involvement in staff training; support for STAT authorizations; adherence to HIPAA, privacy regulations, and confidentiality; strong organizational and data-entry skills; proficiency with Excel, Word, and Outlook; and the ability to work independently in a fast-paced environment. Remote role available for residents in the AZ time zone; primary location is Phoenix, AZ.
Required Qualifications
- High school diploma/GED or equivalent working knowledge preferred
- A minimum of 2 years of experience in the healthcare field is required and previous experience in referrals/authorizations, front office, and/or charge posting is preferred
- Excellent organizational skills and strong customer service orientation are required with a strong background in computers and data entry
- Knowledge of eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial payers, and other funding sources
- Federal, state, and HIPAA privacy regulations
- Knowledge of computer applications
- Skill in effective organization and billing requirements and authorization processes
- Skill in using computer programs and applications including Microsoft Excel, Microsoft Word, and Outlook
- Skill in establishing good working relationships with both internal and external customers
- Ability to multi-task in a fast-paced environment
- Must be detailed oriented with strong organizational skills
- Ability to understand patient demographic information and determine insurance eligibility
- Ability to work independently and demonstrate the ability to analyze data
- Ability to communicate effectively and compassionately with patients, co-workers, management, and providers
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