Surgical Authorization Specialist

Healthcare Outcomes Performance Co. (HOPCo)

. Monitor authorizations of 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, including verification of benefits and patient demographics, while ensuring compliance with HIPAA regulations. Possesses strong organizational and customer service skills to effectively manage workflows and improve departmental efficiency.

Highest-signal resume keywords

Surgical Authorization ProcessesEligibility VerificationHIPAA ComplianceMicrosoft ExcelCustomer Service Orientation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntrySurgical Cost AnalysisAuthorization DocumentationInsurance Eligibility DeterminationBilling RequirementsWorkflow ImprovementPatient Chart ManagementCharge PostingFront Office ExperienceReferrals Management

Soft Skills

Organizational SkillsEffective CommunicationDetail-OrientedAbility to Multi-TaskCompassionate Interaction

Tools & Technologies

Microsoft WordMicrosoft OutlookComputer Applications

Industry Keywords

Healthcare FieldHMOPPOCommercial PayersFederal RegulationsState Regulations

About the role

Key responsibilities & impact

Monitor authorizations of upcoming surgical cases on physicians’ calendars
Ensure surgery authorizations are obtained accurately and on time
Verify patient demographics, insurance eligibility, and coordination of benefits
Update information needed for claims processing
Complete surgical cost analysis forms and document cost estimates for collection before services
Verify benefits for surgical procedures
Document authorization progress in patient charts and case management
Provide ongoing staff training and education on new processes
Work with the department manager to address and reduce complaints
Assist surgery schedulers with STAT authorizations
Maintain confidentiality of health records and member information in accordance with HIPAA
Identify workflow improvement opportunities
Attend department meetings as required

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 using Microsoft Excel, Microsoft Word, and Outlook
Ability to multi-task in a fast-paced environment
Detail-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