Surgical Authorization Specialist

Healthcare Outcomes Performance Co. (HOPCo)

Surgical authorization specialist coordinating surgery approvals, insurance verification, and cost estimates for Outcomes by HOPCo’s healthcare clinics. Supporting surgical schedulers, staff training, claims processing, and HIPAA-compliant patient record management.

Posted 8/11/2026full-timeRemote • Arizona • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing surgical authorizations, verifying patient information, and ensuring compliance with HIPAA guidelines. Strong ability to communicate effectively and maintain relationships with healthcare professionals and patients while improving workflow processes.

Highest-signal resume keywords

Surgical Authorization ManagementEligibility And Benefits VerificationHIPAA ComplianceCustomer Service OrientationData Entry Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Surgical Cost AnalysisClaims ProcessingAuthorization DocumentationPatient Demographic VerificationCoordination Of Benefits

Soft Skills

Organizational SkillsEffective CommunicationRelationship BuildingStaff TrainingComplaint Resolution

Industry Keywords

HealthcareReferralsFront OfficeCharge PostingPPOsHMOsCommercial Payers

About the role

Key responsibilities & impact

Monitor authorizations for upcoming surgical cases on physicians’ calendars, ensuring surgery authorizations are obtained timely and accurately
Verify patient demographic information and insurance eligibility, including coordination of benefits
Update and confirm information needed to process claims to insurance plans
Complete surgical cost analysis forms and document surgical cost estimates for collection before services
Verify benefits on all surgical procedures
Document authorizations and authorization progress in patient charts
Enter authorization information in case management
Communicate effectively with physicians, patients, and coworkers and establish good working relationships with internal and external customers
Provide ongoing staff training and education on new processes to ensure timely confirmation of surgical cases
Work with the department manager to respond to and reduce complaints in a timely and professional manner
Assist surgery schedulers with STAT authorizations
Maintain strict confidentiality of health records and member information and follow HIPAA guidelines
Identify opportunities to improve daily workflow processes
Attend department meetings as required

Requirements

What you’ll need

Minimum 2 years of experience in the healthcare field
Previous experience in referrals/authorizations, front office, and/or charge posting preferred
Excellent organizational skills
Strong customer service orientation
Strong computer and data-entry background
Working knowledge of eligibility and benefits verification
Working knowledge of prior authorizations from HMOs, PPOs, commercial payers, and other funding sources
Ability to communicate effectively with physicians, patients, and coworkers
Ability to establish good working relationships with internal and external customers
Ability to maintain strict confidentiality of health records and member information
Ability to meet HIPAA guidelines

Benefits

Comp & perks

Competitive Health & Welfare Benefits
Monthly $43 stipend to use toward ancillary benefits
HSA with qualifying HDHP plans with company match
401k plan after 6 months of service with company match (Part-time employees included)
Employee Assistance Program that is available 24/7 to provide support
Employee Wellness Events