Surgical Authorization Specialist

Healthcare Outcomes Performance Co. (HOPCo)

Post-surgical authorization specialist coordinating surgical approvals and insurance verification for HOPCo healthcare clinics. Managing patient records, benefits, claims information, and STAT authorizations.

Posted 8/11/2026full-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 ability to communicate effectively and maintain relationships with healthcare professionals and patients while improving workflow processes.

Highest-signal resume keywords

Surgical Authorization ManagementPatient Demographic VerificationInsurance Eligibility CoordinationHIPAA ComplianceCustomer Service Orientation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntrySurgical Cost AnalysisBenefits VerificationPrior Authorization KnowledgeCharge Posting

Soft Skills

Organizational SkillsEffective CommunicationRelationship Building

Industry Keywords

HealthcareHMOsPPOsCommercial PayersConfidentiality

About the role

Key responsibilities & impact

Monitor authorizations of upcoming surgical cases on physician calendars, ensuring surgeries are authorized in a timely and accurate manner
Verify patient demographic information and insurance eligibility, including coordination of benefits
Update and confirm information needed to process claims with insurance plans
Complete surgical cost analysis forms and document required surgical cost estimates for collection before services
Verify benefits on all surgical procedures
Document authorizations and authorization progress in patient charts
Enter authorization information within case management
Communicate effectively with physicians, patients, and co-workers and establish good working relationships with internal and external customers
Participate in ongoing staff training and education regarding new processes
Work with the department manager to respond to and reduce complaints promptly and professionally
Assist surgery schedulers with STAT authorizations
Maintain strict confidentiality of health records and member information and comply with 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, verification of benefits, and prior authorizations
Experience with HMOs, PPOs, commercial payers, and other funding sources
Effective communication with physicians, patients, and co-workers
Ability to establish good working relationships with internal and external customers
Ability to maintain strict confidentiality of health records and member information
Must 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