Surgical Authorization Specialist

Healthcare Outcomes Performance Co. (HOPCo)

. Monitor authorizations for upcoming surgical cases on physicians’ calendars .

Posted 10/2/2026full-timeRemote • Arizona • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in surgical authorization processes, patient eligibility verification, and compliance with HIPAA regulations. Proficient in data entry and effective communication with healthcare professionals and patients.

Highest-signal resume keywords

Surgical Authorization ProcessesPatient Eligibility VerificationHIPAA ComplianceData Entry SkillsCustomer Service Orientation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Surgical Cost AnalysisAuthorization DocumentationBilling RequirementsInsurance Eligibility DeterminationData Analysis

Soft Skills

Organizational SkillsEffective CommunicationDetail OrientationAbility to Multi-taskTraining and Education Skills

Tools & Technologies

Microsoft ExcelMicrosoft WordMicrosoft OutlookComputer Applications

Industry Keywords

Healthcare FieldReferralsAuthorizationsHMOPPOCommercial PayersFederal RegulationsState Regulations

About the role

Key responsibilities & impact

Monitor authorizations for upcoming surgical cases on physicians’ calendars
Ensure surgery authorizations are obtained accurately and on time
Verify patient demographic information and insurance eligibility, including coordination of benefits
Update and confirm information needed for claims processing
Complete surgical cost analysis forms and document required cost estimates for collection before services
Verify benefits for all surgical procedures
Document authorization status and progress in patient charts and case management
Provide ongoing staff training and education regarding new processes
Work with the department manager to respond to and reduce complaints
Assist surgery schedulers with STAT authorizations
Identify opportunities to improve daily workflow processes
Attend department meetings as required
Communicate with physicians, patients, coworkers, management, providers, and internal and external customers

Requirements

What you’ll need

High school diploma/GED or equivalent working knowledge preferred
Minimum of 2 years of experience in the healthcare field required
Previous experience in referrals/authorizations, front office, and/or charge posting preferred
Excellent organizational skills and strong customer service orientation required
Strong background in computers and data entry
Working knowledge of eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial payers, and other funding sources
Knowledge of federal, state, and HIPAA privacy regulations
Knowledge of computer applications
Skill in effective organization and billing requirements and authorization processes
Skill in Microsoft Excel, Microsoft Word, and Outlook
Ability to multi-task in a fast-paced environment
Detailed oriented with strong organizational skills
Ability to understand patient demographic information and determine insurance eligibility
Ability to work independently and analyze data
Ability to communicate effectively and compassionately with patients, co-workers, management, and providers
Must meet HIPAA guidelines and maintain strict confidentiality of health records and member information

Benefits

Comp & perks

Full-Time employment
Remote work arrangement