Revenue Specialist - Surgical Services - Remote

Overview

The Revenue Specialist in Surgical Services manages office-level authorizations to support timely patient care and smooth clinic operations within a multi-specialty medical practice.

In Short

• Processes STAT treatment authorizations for timely patient care.
• Resolves authorization denials and coordinates peer-to-peer reviews.
• Manages new patient referrals and ensures financial clearance.
• Closes referral loops and documents outcomes.
• Improves access through new patient scheduling oversight.
• Communicates clearly with patients regarding insurance requirements.
• Maintains compliance with payer regulations.
• Documents authorization notes in EMR for compliance.
• Collaborates with clinical and administrative teams.
• Assists with monthly reporting and identifies workflow gaps.

Requirements

• Prior insurance knowledge and medical practice billing experience preferred.

Benefits

• Part of a large health system with a supportive environment.
• Opportunities for team building and work-life balance.