Remote Surgery Benefits & Authorization Specialist

remote work; United States; Remote; USD 25,000 - 41,000; Full time

Job summary

HelpSquad is seeking a remote healthcare admin specialist to verify patient benefits for scheduled surgeries and determine when prior authorizations are needed. You will explain coverage, work with payer portals, and coordinate communications with patients and payers within a HIPAA-regulated workflow.

The role requires clear English, attention to detail, and reliability, with growth into a long-term position. Experience with surgical authorizations and payer interactions is essential.

Qualifications

• Experience verifying benefits and eligibility for surgical procedures.
• Ability explain in-network vs out-of-network coverage.
• Experience obtaining prior authorizations.
• Familiarity with payer portals and calls.
• Strong listening skills and attention to detail.
• Reliable and willing to grow in a long-term role.

Responsibilities

• Acquire and verify benefits and eligibility for scheduled procedures.
• Explain coverage to patients over the phone or via messaging.
• Determine when prior authorizations are required and obtain them.
• Review payer fee schedules and manage payer portals for verification.
• Coordinate payer and patient communications throughout the process.
• Document activities in Dr. Chrono and HST in a HIPAA environment.

Skills

Clear English

Surgical authorizations

Benefits verification

Payer portals

Attention to detail

Bedside manner

Tools

Payer portals

Job description

HelpSquad is seeking a remote healthcare admin specialist to verify patient benefits for scheduled surgeries and determine when prior authorizations are needed. You will explain coverage, work with payer portals, and coordinate communications with patients and payers within a HIPAA-regulated workflow.

The role requires clear English, attention to detail, and reliability, with growth into a long-term position. Experience with surgical authorizations and payer interactions is essential.