Remote Surgical Authorization & Revenue Cycle Specialist

E.N.T. Specialty Partners; Dallas (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

ESP Executive Offices is seeking a Revenue Cycle Specialist II - Surgery Authorization Specialist to verify benefits and secure pre-authorizations for surgical services. You will interact with payers, interpret policies, and document activity in the EMR/EPM system while coordinating with clinical teams.

The role requires 3+ years in surgical authorization or revenue cycle, CPT/ICD-10 proficiency, and strong communication skills. This is a fully remote position with occasional travel up to 25%.

Qualifications

• Minimum of 3 years of recent experience in surgical authorization or healthcare revenue cycle.
• Strong CPT/ICD-10/HCPCS coding knowledge and payer portal experience.
• Ability to read medical records and EOBs accurately.
• Excellent written and verbal communication with attention to detail.

Responsibilities

• Verify insurance eligibility and benefits before scheduled surgeries.
• Review, submit, and track surgical authorizations and pre-certifications.
• Communicate with carriers via portals and phone to obtain approvals and referrals.
• Interpret payer policies to confirm medical necessity and cost expectations.
• Document authorization activity accurately in the EMR/EPM system.
• Collaborate with clinical staff and schedulers to resolve denials or issues.

Skills

Insurance verification

Surgical authorization

Medical coding CPT ICD-10

Payer portals

EOB interpretation

Communication skills

Multitasking

Education

High School Diploma or equivalent

Tools

EMR/EPM systems

Microsoft Office

Job description

ESP Executive Offices is seeking a Revenue Cycle Specialist II - Surgery Authorization Specialist to verify benefits and secure pre-authorizations for surgical services. You will interact with payers, interpret policies, and document activity in the EMR/EPM system while coordinating with clinical teams.

The role requires 3+ years in surgical authorization or revenue cycle, CPT/ICD-10 proficiency, and strong communication skills. This is a fully remote position with occasional travel up to 25%.