Surgery Authorization and Insurance Benefits Specialist

remote work; United States; Teletrabalho; USD 25 000 - 41 000; Tempo integral

Resumo da oferta

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.

Qualificações

• 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.

Responsabilidades

• 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.

Conhecimentos

Clear English

Surgical authorizations

Benefits verification

Payer portals

Attention to detail

Bedside manner

Ferramentas

Payer portals

Descrição da oferta de emprego

About the role

HelpSquad is a U.S. based company offering remote support roles in healthcare administration. This role owns acquiring and verifying patient insurance benefits for scheduled surgeries, determining when prior authorizations are needed, and coordinating payer and patient communications throughout the process.

What you'll do

• Acquire and verify benefits and eligibility for patients with scheduled procedures
• Explain in-network and out-of-network coverage to patients over the phone or via messaging
• Determine when prior authorizations are required and obtain them and any surgical clearances
• Review payer fee schedules and manage payer portals for verification and authorization
• Work payer and patient calls to resolve benefits and authorization questions
• Document activities in Dr. Chrono and HST within a HIPAA-regulated environment

What they're looking for

• Clear, patient-understandable English with a neutral accent
• Hands-on experience with surgical authorizations and benefits
• Understanding of in-network and out-of-network benefits
• Comfort using payer portals and making payer calls
• Strong listening, attention to detail, and professional bedside manner
• Reliability and willingness to grow into a long-term role

For applicants in Nigeria

• The listing specifies a U.S.-based company and remote work; Nigeria as a location is not excluded in the description, but verify eligibility and work authorization with the employer prior to applying
• Timezone expectations are not stated; confirm during interview
• Contract type is not specified; verify whether this is employee or contractor status
• Pay currency is not stated; confirm when interviewing