Urgent Surgery Associates , PA (“URSA”) is multi-physician surgical practice that is looking for a highly organized and detail-oriented Surgical Insurance Coordinator . The Surgical Insurance Coordinator manages financial clearance for surgical and procedural patients by verifying insurance benefits and coverage, obtaining required authorizations and referrals, communicating anticipated patient financial responsibility, and coordinating with patients, providers, insurance companies, facilities, and internal teams to support timely care and reduce authorization-related denials .
Location :
2710 Swiss Avenue, Dallas, TX 75204
Core Hours: Monday - Thursday 9:00am - 5:00pm & Fridays 9:00am - 1:00pm
ESSENTIAL DUTIES AND RESPONSIBILITIES
The responsibilities listed here represent the majority of the role but are not all-inclusive; other duties may be assigned.
Verify insurance eligibility, benefits, network status, patient financial responsibility, and payer requirements across applicable commercial, Medicare, Medicaid, workers' compensation, and other coverage types for scheduled surgeries, procedures, diagnostic imaging, and durable medical equipment.
Obtain and manage prior authorizations, precertifications, and referrals, including submission of required clinical documentation and follow-up through final determination.
Confirm authorization details align with scheduled services and coordinate updates when procedure codes, dates of service, facilities, or treatment plans change.
Coordinate authorization denials, reconsiderations, appeals, and peer-to-peer reviews with providers and payers as needed.
Prepare and communicate estimates of patient financial responsibility, explain insurance benefits and coverage requirements, and address patient questions in a clear and professional manner.
Collect applicable pre-service patient responsibility, obtain required financial acknowledgments, and coordinate payment arrangements, Good Faith Estimates, or available financial resources in accordance with practice procedures.
Communicate financial clearance and authorization status with patients, providers, clinical staff, surgery scheduling, facilities, and other stakeholders to support timely care.
Maintain complete and accurate documentation in applicable systems and partner with billing and revenue cycle resources to resolve authorization-related issues and denials.
Support patient check-in and check-out activities and other clinic operations as needed.
QUALIFICATIONS
Knowledge, Skills, Abilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Working knowledge of medical insurance eligibility, benefits, prior authorization, referral, and precertification processes, including commercial and government payer requirements.
Working knowledge of medical terminology and CPT, ICD-10, and HCPCS coding sufficient to support benefit verification and authorization activities.
Ability to interpret payer requirements and communicate insurance coverage and patient financial responsibility clearly and professionally.
Strong organization, problem-solving, follow-through, and attention to detail, with the ability to manage multiple cases and deadlines in a fast-paced clinic environment.
Proficiency with electronic health records, practice management systems, payer portals, and standard office applications.
Education / Experience:
Required:
High school diploma or GED equivalent
Minimum two (2) years of experience in medical insurance verification, prior authorizations, patient financial clearance, or related medical office or revenue cycle function
Experience working with commercial and government payers and using payer portals for eligibility, benefits, and authorization activities
Preferred:
Experience supporting surgical or specialty medical services, preferable general surgery
Experience with authorization denials, appeals, and peer-to-peer coordination
Familiarity with Epic and/or…