Surgery Verification Specialist (Remote)

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

Surgery Verification Specialist (Remote) – Revenue CycleUrology Clinics of North Texas (UCNT) | Remote after 8–12 weeks of paid in-office training in Mesquite, TX | Full-timeDo you know your way around payer portals, prior authorizations and CPT codes? Do you want to work from home doing it? UCNT is hiring a Surgery Verification Specialist to make sure every patient arrives for surgery with coverage confirmed and no surprises on their bill.About the RoleAs part of our Revenue Cycle team, you will verify insurance benefits and secure prior authorizations for scheduled urologic surgeries and procedures. You will be the link between our surgery schedulers, providers, patients and payers, and your work directly protects patient care and practice reimbursement.Training and schedule: This is a remote position. New team members complete 8–12 weeks of on-site training at our Mesquite, TX office to learn our systems, payers and workflows side by side with the team. After training, you will work remotely full-time. Candidates must be able to commute to Mesquite daily during the training period.What You'll DoVerify insurance eligibility and benefits for scheduled surgeries, in-office procedures, and hospital and surgery center casesObtain and track prior authorizations through payer portals, phone and fax until approvedReview CPT and ICD-10 codes on surgery orders and partner with providers to resolve discrepanciesSubmit supporting clinical documentation that meets payer requirementsCoordinate with schedulers when an authorization is pending, denied or expired, and help with peer-to-peer requests and pre-service appealsPrepare patient cost estimates and explain financial responsibility clearly and kindlyDocument all activity accurately in our EHR and practice management systemWhat You BringRequiredHigh school diploma or GED2+ years of experience in insurance verification, prior authorization or medical billingWorking knowledge of CPT, HCPCS, ICD-10 and medical terminologyExperience with commercial, Medicare, Medicare Advantage and Medicaid payersComfort with payer portals, EHR systems and Microsoft OfficeStrong attention to detail and the ability to manage a high volume of cases by deadlineAbility to attend 8–12 weeks of in-office training in Mesquite, TXPreferredExperience in urology, a surgical specialty or an ambulatory surgery centerCRCR, CPC or CHAA certificationAssociate degree in healthcare administration or a related fieldWhy UCNTWork from home after training, with a supportive team behind youHands-on training that sets you up to succeedCompetitive payMedical, dental, vision and retirement benefitsPaid time off and holidaysBonus potentialMeaningful work in a growing specialty practice serving patients across North TexasRemote work requirements: a quiet, private, HIPAA-compliant workspace and reliable high-speed internet.Ready to apply? Submit your application and resume today. We look forward to meeting you.Equal Opportunity and AccommodationUCNT is an equal opportunity employer. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status or any other characteristic protected by law.In line with the Americans with Disabilities Act, UCNT provides reasonable accommodations to qualified individuals with disabilities. If you need an accommodation to apply or interview, please contact Human Resources.