Surgery Authorization Specialist (Full Remote Eligible If Re
About the position Responsibilities • Provide full life-cycle management of surgical authorization cases. • Verify eligibility, investigate insurance benefits and validate coverage. • Verify insurance process for submission of pre-surgical authorizations. • Navigate and utilize operational resources to enter and manage authorization requests according to insurance process, urgency and Workflow prioritization. • Collect documentation based on payor requirements and HIPAA compliant process. • Evaluate medical documentation for accuracy, requirements and validity and submit to insurance for prior authorization. • Follow-up with insurance companies and customers according to operational requirements. • Other duties as assigned. Requirements • Bachelors or Equivalent Work Experience • 2-3 years of experience ideally working with health insurance, including knowledge of CPT-4 and ICD-10 codes • Experience in insurance eligibility and benefit verification • Understanding of insurance and healthcare billing processes. Benefits • Medical insurance • Dental insurance • Vision insurance • Life insurance • Disability insurance • 401(K) matching with immediate vesting • Paid Time Off • Tuition reimbursement • Maternity leave • Paternity leave • Employee Stock Purchase Plan • Pet insurance Apply tot his job