Surgery Authorization and Insurance Benefits Specialist

Job not on LinkedIn

🔥 13 hours ago

🇺🇸 United States – Remote

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

👩‍👩‍👧‍👦 Human Resources (HR)

👻 Ghost score 25%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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HelpSquad

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2014

🏥 Healthcare

🤝 B2B

🏢 Enterprise

💰 $500k Angel Round - HelpSquad Health on 2015-05

Healthcare • B2B • Enterprise

HelpSquad is a US-managed, HIPAA-compliant provider of virtual medical assistants and healthcare BPO services. It supplies trained, vetted remote staff for scheduling, patient intake, insurance verification, prior authorizations, medical billing and revenue cycle management, call center support (including 24/7 and after-hours), medical scribing, and AI-enabled patient support and knowledge systems. HelpSquad offers managed teams, white-label reseller services, and specialty support for practices and organizations ranging from solo clinicians to multi-location medical groups, hospital systems, dental practices, behavioral health, and in-home care; it emphasizes compliance (BAA signed at company level), quality vetting, and US-based oversight.

📋 Description

• Acquire and verify insurance benefits and eligibility for scheduled surgical procedures • Explain surgical benefits clearly for each case • Call patients to explain in-network and out-of-network coverage • Determine when prior authorization is required • Obtain prior authorizations and payer-required surgical clearances • Obtain and review payer fee schedules and procedure reimbursement • Use Availity and UHC payer portals and phone lines • Handle payer and patient calls regarding benefits and authorizations • Document benefits, authorization, and clearance activity in Dr. Chrono and HST • Communicate clearly with patients, particularly an older patient population • Occasionally schedule surgeries when needed • Follow the practice’s training guides and workflows for benefits and authorizations

🎯 Requirements

• Clear, patient-understandable English in speaking and writing • Neutral accent that patients can easily understand • Hands-on experience with surgical authorizations and insurance benefits • Judgment to know when a prior authorization is required • Solid understanding of in-network and out-of-network benefits • Comfort working payer portals and making payer calls • Strong listening skills • Close attention to detail • Warm, professional manner with patients • Willingness to learn practice-specific terminology and workflows • Reliability and professionalism in a HIPAA-regulated environment • Experience with Dr. Chrono, HST, Availity, UHC, Weave AI soft phone, or comparable systems is relevant to the role

🏖️ Benefits

• Competitive hourly rate • On-time payments, every time • Payments processed via Wise • Direct client training provided • Dedicated Account Manager as your point of contact • Stable, long-term placement with a growing U.S.-based company • Exposure to a wide range of modern SaaS platforms • Potential for increased responsibilities as the company scales • Tenure recognition for long-term team members • Clear escalation paths • 100% remote — work from home • Potential for increased hours or additional accounts based on performance • Build your U.S. industry experience • Exposure to multiple practice types and platforms • Strengthen your resume with verified, legitimate U.S. client experience