Surgical Authorization Specialist at Healthcare Outcomes Performance Company

Surgical Authorization SpecialistLocation: Paoli Collegeville and ExtonOrganization: Premier Orthopaedics in partnership with Philadelphia Hand to ShoulderOverviewPremier Orthopaedics in partnership with Philadelphia Hand to Shoulder is seeking a meticulous and knowledgeable Surgical Authorization Specialist to join our team in our Paoli Collegeville and Exton PA locations. As two of the regions most respected providers of orthopedic and upper extremity care we offer a collaborative patient-focused environment that prioritizes clinical excellence innovation and ongoing professional development.Position SummaryThe Surgical Authorization Specialist is a vital member of the Authorizations department responsible for obtaining insurance authorizations verifying patient eligibility and benefits and completing cost estimates for surgical procedures. This role ensures that all financial and administrative prerequisites for surgery are met accurately and in a timely manner supporting a seamless patient experience and efficient clinic workflow. This is a full-time position on-site.Key Responsibilities:Monitor physician surgical calendars to ensure authorizations are obtained accurately and in a timely manner for all upcoming cases.Verify patient demographic information and insurance eligibility including coordination of benefits.Complete surgical cost analysis forms to document required cost estimations for collection prior to services.Verify benefits for all scheduled surgical procedures.Accurately document authorization details and progress within the patients electronic medical record (EMR) and case management system.Communicate effectively with physicians patients co-workers and insurance representatives to establish good working relationships.Assist surgery schedulers with STAT or urgent authorization requests as needed.Ensure strict confidentiality of all health records and patient information in compliance with HIPAA guidelines.Assist in identifying opportunities for improvement within the daily authorization workflow process.Perform other duties as assigned.QualificationsEducation:High school diploma/GED or equivalent working knowledge preferred.Licenses & Certifications:None required.Experience:A minimum of 2 years of experience in the healthcare field is required.Previous experience in referrals/authorizations front office operations or charge posting is preferred.Experience working with eligibility verification of benefits and prior authorizations from various HMOs PPOs and commercial payers.Experience using computer applications including Microsoft Office Suite and accurately entering data into practice management systems and EMRs.Compensation & BenefitsComprehensive benefits package including medical dental and vision plans100% employer-paid life insurance401(k) retirement plan with employer Safe Harbor contribution and additional discretionary profit sharingBenefits are effective on your hire date (for full-time employees)Generous paid sick and vacation time7 paid holidays annuallyOpportunities for growth and advancementEmployee referral reward programAbout Premier Orthopaedics & Philadelphia Hand to ShoulderPremier Orthopaedics and Philadelphia Hand to Shoulder Center (PHSC) are leading providers of comprehensive musculoskeletal care throughout Pennsylvania New Jersey and Delaware.Premier Orthopaedics delivers expert treatment for orthopedic injuries joint disease interventional spine care regenerative medicine and comprehensive physical therapy services supported by more than 150 providers across 50 locations. Our facilities include state-of-the-art MRI centers outpatient surgery centers physical therapy clinics and orthopedic urgent care centers to ensure timely access to high-quality patient-focused care.Philadelphia Hand to Shoulder Center (PHSC) a division of Premier Orthopaedics has been nationally recognized for more than 50 years for its specialized care of the hand wrist elbow arm and shoulder. Our fellowship-trained surgeons and certified Hand and Occupational Therapists collaborate to provide seamless carefrom diagnosis and treatment to post-operative and rehabilitative recovery. With 14 convenient locations across Pennsylvania and New Jersey PHSC offers advanced integrated care to restore function mobility and quality of life for patients with upper extremity conditions.Required Experience:IC Key Skills Aseptic Technique,Hospital Experience,Acute Care,Anatomy Knowledge,Basic Life Support,Computer Skills,Physiology Knowledge,Military Experience,Suturing,Medical Terminology,Sterile Processing Employment Type : Full-Time Experience: years Vacancy: 1