Surgery Authorization & Insurance Coordinator

StrideCare; Town of Texas, Northern (WI, KY); Hybrid; USD 38,000 - 60,000; Full time

Job summary

StrideCare is seeking a Financial Clearance professional to verify insurance benefits, prepare cost estimates, and process pre-authorizations for procedures. The role collaborates with clinicians and insurance providers to ensure timely approvals and accurate self-pay estimates.

The position requires strong communication, attention to detail, and HIPAA compliance, with comfort navigating multiple systems and schedules in a fast-paced environment.

Qualifications

• High school diploma or GED required.
• Medical Assistant Certification preferred.

Responsibilities

• Verify insurance benefits for patients and document details in the system.
• Understand insurance criteria and requirements for various treatments.
• Submit pre-authorizations or predeterminations with clinical documentation via fax or portal.
• Monitor status of surgical reviews according to established protocols.
• Create cost estimates for procedures including insurance-approved treatments and self-pay.
• Handle insurance calls and patient scheduling related to authorizations.
• Maintain HIPAA-compliant records and documentation.

Skills

Benefits verification

Cost estimation

Communication skills

HIPAA compliance

Multitasking

Independent worker

Education

High School Diploma or GED

Medical Assistant Certification

Tools

Microsoft Office

Job description

StrideCare is seeking a Financial Clearance professional to verify insurance benefits, prepare cost estimates, and process pre-authorizations for procedures. The role collaborates with clinicians and insurance providers to ensure timely approvals and accurate self-pay estimates.

The position requires strong communication, attention to detail, and HIPAA compliance, with comfort navigating multiple systems and schedules in a fast-paced environment.