Surgery Verification Specialist (Remote) (44651)

Surgery Verification Specialist (Remote) - Revenue Cycle

Urology Clinics of North Texas (UCNT) | Remote after 8-12 weeks of paid in-office training in Mesquite, TX | Full-time

Do you know your way around payer portals, prior authorizations and CPT codes? Do you want to work from home doing it? UCNT is hiring a Surgery Verification Specialist to make sure every patient arrives for surgery with coverage confirmed and no surprises on their bill.

About the Role

As part of our Revenue Cycle team, you will verify insurance benefits and secure prior authorizations for scheduled urologic surgeries and procedures. You will be the link between our surgery schedulers, providers, patients and payers, and your work directly protects patient care and practice reimbursement.

Training and schedule: This is a remote position. New team members complete 8-12 weeks of on-site training at our Mesquite, TX office to learn our systems, payers and workflows side by side with the team. After training, you will work remotely full-time. Candidates must be able to commute to Mesquite daily during the training period.

What You'll Do

• Verify insurance eligibility and benefits for scheduled surgeries, in-office procedures, and hospital and surgery center cases
• Obtain and track prior authorizations through payer portals, phone and fax until approved
• Review CPT and ICD-10 codes on surgery orders and partner with providers to resolve discrepancies
• Submit supporting clinical documentation that meets payer requirements
• Coordinate with schedulers when an authorization is pending, denied or expired, and help with peer-to-peer requests and pre-service appeals
• Prepare patient cost estimates and explain financial responsibility clearly and kindly
• Document all activity accurately in our EHR and practice management system

What You Bring

Required

• High school diploma or GED
• 2+ years of experience in insurance verification, prior authorization or medical billing
• Working knowledge of CPT, HCPCS, ICD-10 and medical terminology
• Experience with commercial, Medicare, Medicare Advantage and Medicaid payers
• Comfort with payer portals, EHR systems and Microsoft Office
• Strong attention to detail and the ability to manage a high volume of cases by deadline
• Ability to attend 8-12 weeks of in-office training in Mesquite, TX

Preferred

• Experience in urology, a surgical specialty or an ambulatory surgery center
• CRCR, CPC or CHAA certification
• Associate degree in healthcare administration or a related field

Why UCNT

• Work from home after training, with a supportive team behind you
• Hands-on training that sets you up to succeed
• Competitive pay
• Medical, dental, vision and retirement benefits
• Paid time off and holidays
• Bonus potential
• Meaningful work in a growing specialty practice serving patients across North Texas

Remote work requirements: a quiet, private, HIPAA-compliant workspace and reliable high-speed internet.

Ready to apply? Submit your application and resume today. We look forward to meeting you.

Equal Opportunity and Accommodation

UCNT is an equal opportunity employer. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status or any other characteristic protected by law.

In line with the Americans with Disabilities Act, UCNT provides reasonable accommodations to qualified individuals with disabilities. If you need an accommodation to apply or interview, please contact Human Resources.