Remote Surgery Verification & Authorization Specialist

Urology Clinics of North Texas, PLLC; Mesquite (TX); Remote; USD 30,000 - 39,000; Full time

Benefits offered by this job

Remote work after training

PTO & holidays

Benefits (Medical, dental, vision, and

Bonus potential

Job summary

Urology Clinics of North Texas, PLLC is seeking a Surgery Verification Specialist to ensure surgical patients have confirmed coverage and clear billing expectations. This remote role follows 8–12 weeks of on-site training in Mesquite, TX, with the team to learn payer workflows and CPT/ICD-10 standards.

Responsibilities include verifying insurance benefits, obtaining prior authorizations, reviewing codes, and coordinating with schedulers, providers, patients, and payers to prevent billing

Qualifications

• High school diploma or GED required; experience in insurance verification, prior authorization or medical billing preferred.
• Knowledge of CPT, HCPCS, ICD-10 and medical terminology is essential.
• Experience with commercial, Medicare, Medicare Advantage and Medicaid payers preferred.

Responsibilities

• Verify insurance eligibility and benefits for scheduled surgeries and procedures.
• Obtain and track prior authorizations through payer portals, phone and fax until approved.
• Review CPT and ICD-10 codes and resolve discrepancies with providers.
• Submit supporting clinical documentation meeting payer requirements.

Skills

Insurance verification

Prior authorization

CPT/ICD-10 knowledge

Medical terminology

Payer portals

Education

High school diploma or GED

CRCR, CPC or CHAA certification

Tools

EHR systems

Microsoft Office

Job description

Urology Clinics of North Texas, PLLC is seeking a Surgery Verification Specialist to ensure surgical patients have confirmed coverage and clear billing expectations. This remote role follows 8–12 weeks of on-site training in Mesquite, TX, with the team to learn payer workflows and CPT/ICD-10 standards.

Responsibilities include verifying insurance benefits, obtaining prior authorizations, reviewing codes, and coordinating with schedulers, providers, patients, and payers to prevent billing