Insurance Verification & Authorizations Specialist

North Texas Team Care Surgery Center; Texas; On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Competitive compensation

Physician-led practice

Onsite team environment

Job summary

North Texas Team Care Surgery Center in the Dallas–Fort Worth area is hiring an Insurance Verification & Authorizations Specialist for an onsite role within our ambulatory surgery center and pain management practice. You will manage front-end revenue cycle tasks, verify benefits, obtain prior authorizations, and follow up to ensure timely approvals.

The role emphasizes accurate payer data entry, use of payer portals, and collaboration with staff to communicate financial responsibilities to

Qualifications

• 2–3 years of insurance verification & prior authorizations experience.
• Hands-on experience with HST Pathways required.
• Strong knowledge of ASC and pain management workflows.
• Proficiency with payer portals and payer-specific rules.

Responsibilities

• Verify insurance eligibility, benefits, deductibles, co-insurance, and out-of-pocket maximums.
• Obtain and track prior authorizations for surgical and diagnostic procedures.
• Perform authorization follow-up to secure approvals before service dates.
• Navigate major payer portals (Medicare MACs, Medicaid, BCBS, UHC, Aetna, Cigna, Tricare).
• Enter and maintain authorization/benefit data in HST Pathways.
• Communicate authorization requirements and financial responsibility to staff and patients.
• Escalate delayed/denied authorizations and document outcomes.
• Maintain compliance with payer rules and timelines.

Skills

Insurance verification

Prior authorizations

Payer portals

ASC workflows

Medicare/Medicaid familiarity

Tools

HST Pathways

Job description

Job Description

Insurance Verification & Authorizations Specialist

Ambulatory Surgery Center

Location: Onsite – DFW Area
Position Type: Full-Time | Healthcare Revenue Cycle

Position Summary

We are seeking an experienced Insurance Verification & Authorizations Specialist to manage front-end revenue cycle functions for an ambulatory surgery center and pain management practice. This onsite role is critical to ensuring accurate benefits verification, timely prior authorizations, and proactive follow-up across multiple payers and portals.

Key Responsibilities

• Verify insurance eligibility, benefits, deductibles, co-insurance, and out-of-pocket maximums
• Obtain and track prior authorizations for surgical, interventional pain, and diagnostic procedures
• Perform authorization follow-up to ensure approvals are received prior to date of service
• Navigate and manage all major payer online portals (Medicare MACs, Medicaid, BCBS, UHC, Aetna, Cigna, Tricare, etc.)
• Enter and maintain accurate authorization and benefit data within HST Pathways
• Communicate authorization requirements and financial responsibility clearly to staff and patients
• Escalate delayed or denied authorizations and document outcomes
• Maintain compliance with payer-specific rules and timelines

Required Qualifications

• Minimum 2–3 years experience in insurance verification and prior authorizations
• Hands-on experience with HST (HST Pathways) – required
• Strong working knowledge of ASC and pain management workflows
• Proven ability to use payer web portals efficiently and independently
• Familiarity with Medicare, Medicaid, and commercial payer authorization rules
• High attention to detail and strong follow-through skills
• Ability to manage multiple cases simultaneously in a fast-paced environment

Preferred Qualifications

• Experience in an Ambulatory Surgery Center (ASC) setting
• Knowledge of interventional pain procedures, spine, ortho, or GI authorizations
• Prior experience working with Texas Medicaid and Medicare MACs
• Understanding of medical necessity and payer policy requirements
• Bilingual Spanish/English

What We Offer

• Competitive compensation based on experience
• Stable, physician-led practice environment
• Collaborative onsite team culture