Remote Surgical Authorization Specialist

Proliance Surgeons; Issaquah (WA); Remote; USD 45,000 - 65,000; Full time

Job summary

Proliance Surgeons is seeking a Surgical Authorization Specialist to efficiently manage accounts receivable with a strong focus on obtaining prior authorizations for procedures. The role supports remote work but mandates location within listed states and PST hours alignment.

Minimum two years in healthcare AR/billing is required, with Medicare experience preferred. The position emphasizes accurate insurance verification, patient communication, and timely claim processing.

Qualifications

• High School diploma or GED required.
• 2 years healthcare AR/billing experience required in a healthcare facility.
• Medicare experience strongly preferred.
• Insurance experience with commercial, workers’ compensation and government payers required.

Responsibilities

• Coordinate and process medical prior authorizations for surgical procedures.
• Triage calls and requests from providers/patients for authorization of services.
• Communicate with patients and clinic staff professionally via phone or email.
• Verify insurance information and post payments received from patients/insurers.
• Review EOBs and research denials or reductions.
• Submit and ensure timely claims for physician billing to third-party carriers.

Skills

Attention to detail

Organizational skills

Time management

Independent worker

Interpersonal skills

HIPAA knowledge

Self-motivated

Education

High School diploma/GED

2 years healthcare AR/billing experience

Medicare experience preferred

Insurance payer knowledge

Job description

Proliance Surgeons is seeking a Surgical Authorization Specialist to efficiently manage accounts receivable with a strong focus on obtaining prior authorizations for procedures. The role supports remote work but mandates location within listed states and PST hours alignment.

Minimum two years in healthcare AR/billing is required, with Medicare experience preferred. The position emphasizes accurate insurance verification, patient communication, and timely claim processing.