Healthcare Outcomes Performance Co. (HOPCo)
Surgical Authorization Specialist
Healthcare Outcomes Performance Co. (HOPCo), King Of Prussia, Pennsylvania, United States, 19406
Surgical Authorization Specialist
Location: King of Prussia
Overview Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Surgical Authorization Specialist to join our team at the King of Prussia office. As two of the region’s 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 Summary The Surgical Authorization Specialist is responsible for processing surgical referrals, verifying insurance eligibility and benefits, and securing prior authorizations. This role requires strong organizational skills, effective customer service, and the ability to work independently while reviewing patient and insurance information. This is a full‑time position with Monday through Friday hours.
Key Responsibilities
Monitors authorizations for upcoming surgical cases to ensure they are obtained accurately and in a timely manner.
Verifies patient demographic information and insurance eligibility, including coordination of benefits.
Updates and confirms required information to support insurance claims processing.
Verifies benefits for all surgical procedures.
Documents authorization status and progress in the patient’s chart and enters all information into case management systems.
Communicates effectively with physicians, patients, co‑workers, and both internal and external customers.
Partners with the department manager to address and reduce complaints professionally and promptly.
Assists surgery schedulers with STAT authorizations.
Qualifications
A minimum of 2 years of experience in the healthcare field is required and previous experience in referrals/authorizations, front office, and/or charge posting is required.
Working knowledge of insurance websites.
Effective organization and billing requirements and authorization processes.
Education
High school diploma or GED required.
Licenses & Certifications
None required.
Ability to communicate effectively with physicians, staff, patients, and the public, and establish positive working relationships with internal and external stakeholders.
Compensation & Benefits
Comprehensive benefits package including medical, dental, and vision plans.
100% employer‑paid life insurance.
401(k) retirement plan with employer Safe Harbor contribution and additional discretionary profit sharing.
Benefits effective on your hire date (for full‑time employees).
Generous paid sick and vacation time.
Seven paid holidays annually.
Opportunities for growth and advancement.
Employee referral reward program.
About Premier Orthopaedics & Philadelphia Hand to Shoulder Center Premier 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 care—from 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.
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Overview Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Surgical Authorization Specialist to join our team at the King of Prussia office. As two of the region’s 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 Summary The Surgical Authorization Specialist is responsible for processing surgical referrals, verifying insurance eligibility and benefits, and securing prior authorizations. This role requires strong organizational skills, effective customer service, and the ability to work independently while reviewing patient and insurance information. This is a full‑time position with Monday through Friday hours.
Key Responsibilities
Monitors authorizations for upcoming surgical cases to ensure they are obtained accurately and in a timely manner.
Verifies patient demographic information and insurance eligibility, including coordination of benefits.
Updates and confirms required information to support insurance claims processing.
Verifies benefits for all surgical procedures.
Documents authorization status and progress in the patient’s chart and enters all information into case management systems.
Communicates effectively with physicians, patients, co‑workers, and both internal and external customers.
Partners with the department manager to address and reduce complaints professionally and promptly.
Assists surgery schedulers with STAT authorizations.
Qualifications
A minimum of 2 years of experience in the healthcare field is required and previous experience in referrals/authorizations, front office, and/or charge posting is required.
Working knowledge of insurance websites.
Effective organization and billing requirements and authorization processes.
Education
High school diploma or GED required.
Licenses & Certifications
None required.
Ability to communicate effectively with physicians, staff, patients, and the public, and establish positive working relationships with internal and external stakeholders.
Compensation & Benefits
Comprehensive benefits package including medical, dental, and vision plans.
100% employer‑paid life insurance.
401(k) retirement plan with employer Safe Harbor contribution and additional discretionary profit sharing.
Benefits effective on your hire date (for full‑time employees).
Generous paid sick and vacation time.
Seven paid holidays annually.
Opportunities for growth and advancement.
Employee referral reward program.
About Premier Orthopaedics & Philadelphia Hand to Shoulder Center Premier 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 care—from 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.
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