Surgical Authorization Specialist | Patient Access & Payer

The Plastic Surgery Center; Shrewsbury (NJ); On-site; USD 52,000 - 72,000; Full time

Job summary

The Authorization Specialist at The Plastic Surgery Center is a full-time, on-site role in Shrewsbury, NJ. You will obtain and verify insurance authorizations for both surgical and non-surgical procedures, ensuring approvals are secured before services are scheduled.

You will review benefits, communicate with carriers, document details, and support a smooth workflow by coordinating with clinical and scheduling teams and educating patients on financial responsibilities.

Qualifications

• Experience with insurance verification, pre-certification, and prior authorization processes in a medical or surgical practice.
• Proficiency with electronic health records (EHR), practice management systems, and MS Office.
• Strong attention to detail and organizational skills; ability to manage multiple cases and deadlines.
• Clear and professional communication with patients, surgeons, staff, and insurance representatives.
• Basic knowledge of medical terminology, CPT/ICD codes; plastic surgery experience preferred.
• High school diploma; medical billing/insurance certification beneficial.

Responsibilities

• Obtain, verify, and track insurance authorizations for surgical and non-surgical procedures; ensure approvals before scheduled services.
• Review patient benefits, confirm coverage, deductibles, and co-payments with carriers.
• Document authorization details and update patient records; coordinate with clinical and scheduling teams.
• Educate patients on financial responsibilities and maintain compliance with payer guidelines; support efficient practice workflow.

Skills

Attention to detail

Organizational skills

Communication skills

Multitasking

Education

High school diploma or equivalent

Medical billing/insurance certification

Tools

EHR systems

Practice management software

MS Office

Billing software

Job description

The Authorization Specialist at The Plastic Surgery Center is a full-time, on-site role in Shrewsbury, NJ. You will obtain and verify insurance authorizations for both surgical and non-surgical procedures, ensuring approvals are secured before services are scheduled.

You will review benefits, communicate with carriers, document details, and support a smooth workflow by coordinating with clinical and scheduling teams and educating patients on financial responsibilities.