Surgical Authorization Specialist

Healthcare Outcomes Performance Co. (HOPCo)

Surgical Authorization Specialist in healthcare field ensuring authorizations for surgeries are timely and accurate. Verifying patient insurance eligibility and managing documentation for surgical cases.

Posted 7/21/2026full-timeRemote • Arizona • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing surgical authorizations, verifying patient information, and ensuring compliance with HIPAA guidelines. Strong organizational and customer service skills are essential for effective communication and collaboration with healthcare professionals and patients.

Highest-signal resume keywords

Surgical Authorization ManagementPatient Demographic VerificationInsurance Eligibility VerificationHIPAA ComplianceCustomer Service Orientation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Surgical Cost AnalysisData EntryEligibility VerificationPrior Authorization ProcessingClaims Processing

Soft Skills

Effective CommunicationOrganizational SkillsRelationship BuildingTraining and Education

Industry Keywords

HealthcareHMOPPOCommercial PayersReferral Management

About the role

Key responsibilities & impact

Monitors the authorizations of upcoming surgical cases on the physician’s calendars ensuring authorizations for surgeries are obtained in a timely and accurate manner.
Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow processing of claims to insurance plans.
Completes surgical cost analysis form, documenting the required surgical cost estimation for collection prior to services.
Verifies benefits on all surgical procedures.
Document authorizations and progress of authorizations in the patient’s chart.
Enters the authorization information within case management.
Must be able to communicate effectively with physicians, patients, and co-workers and be capable of establishing good working relationships with both internal and external customers.
Participate in providing ongoing training and education of staff as it relates to new processes to ensure timely confirmation of surgical cases.
Work with the department manager to respond to and reduce complaints timely and professionally.
Assist surgery schedulers with STAT authorizations.
Ensure strict confidentiality of all health records, member information and meet HIPAA guidelines.
Assists in identifying opportunities for improvement within the daily workflow process.
Attends department meetings as required.

Requirements

What you’ll need

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.
Working knowledge of eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial payers, and other funding sources.

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