New Pre Auth Specialist (Fully Remote)

Surgery Partners; United States; Remote; USD 42,000 - 56,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

401(k) with company match

Paid time off

Job summary

Surgery Partners is a nationwide network of surgical facilities providing healthcare services across the United States. The role supports obtaining referrals, authorizations, and verifying patient insurance benefits to ensure smooth care delivery.

Ideal candidates will have 1-2 years of healthcare insurance billing or authorization experience, strong CPT/ICD-9 knowledge, and proficiency with Excel and EHR systems.

Qualifications

• 1-2 years experience in healthcare insurance billing, verification, collections, or authorizations.
• Knowledge of CPT/ICD-9 and medical terminology.
• Proficient with spreadsheet software.

Responsibilities

• Obtain required referrals and authorizations via phone, fax, or online.
• Review office schedules daily for patients requiring authorizations, referrals, and eligibility verification.
• Update patient accounts and EHR with details of insurance verification and denials.

Skills

Insurance verification

Authorization processing

EHR data entry

CPT/ICD-9 knowledge

Education

High School Diploma or GED

Tools

Excel

Job description

• Responsible for obtaining managed care authorizations and verifying patient insurance benefits.
• Analyze utilization data from health plans' claims as required.
• Maintain optimal patient, referring physician, and insurance company satisfaction.

Key Responsibilities:

• Obtain required referrals and authorizations via phone, fax, or online.
• Review office schedules daily for patients requiring authorizations, referrals, and eligibility verification.
• Update patient accounts and EHR with details of insurance verification and denials.

Qualifications:

• High school diploma or GED required.
• 1-2 years experience in healthcare insurance billing, verification, collections, or authorizations.
• Knowledge of medical terminology, CPT/ICD-9, and computer spreadsheet applications.
• Comprehensive health, dental, and vision insurance.
• Health Savings Account with employer contribution, life insurance, and PTO.
• 401(k) retirement plan with company match and more.

Surgery Partners

Surgery Partners operates a network of surgical facilities and provides healthcare services across the United States.

The company fosters a diverse and inclusive workplace, offering comprehensive benefits and professional development opportunities.