Neurosurgery Authorization Specialist

Methodist Health System • Dallas, TX

6d

About The Position

Your Job: The Medical Authorization Specialist professional responsible for verification of medical coverage, along with notification, prior authorization, and/or pre-determination of healthcare benefits for proposed medical services, to ensure reimbursement for rendered care. This position routinely works with physicians, clinic support staff, case managers, nurses, insurance utilization management staff, and patients to initiate pre-authorization and resolve issues that arise during the prior authorizations process. Supports and promotes the vision, mission, and strategic plans of Methodist Health System Your Job Requirements: • High School Graduate or equivalent. Some college preferred • 1 year of prior clinical and/or insurance experience. • Knowledge of billing practices and clinic policies and procedures. • Knowledge of ICD-9, ICD-10 and CPT codes for clinic operating policies. • Strong proficiency using Microsoft Office products • Strong oral and written communication skills • Detail oriented, logical, and methodological approach to problem solving Your Job Responsibilities: • Communicate clearly and openly • Build relationships to promote a collaborative environment • Be accountable for your performance • Always look for ways to improve the patient experience • Take initiative for your professional growth • Be engaged and eager to build a winning team • Ability to interpret Payer Clinical Policies in reference to practice procedures. • Contacts Payer(s) in a timely manner to obtain, monitor, expedite, and track pre-authorization/pre-certification requests for planned services. Monitors changes in Authorization requests daily, to ensure a faster mode of notification retrieval. • Identifies and provides accurate CPT/ ICD codes on the authorization request. • Maintain appropriate logs or reports according to professional, state and federal requirements • Refers authorization requests that require clinical judgment to the Provider, and/or Billing Manager, when necessary. • Advises Manager of all patient complaints, and asks for assistance if problem resolution has not occurred with the patient • Adheres to patient and office confidentiality guidelines as outlined by the policies and procedures of the office and hospital system as well as HIPPA, red flag regulations, and any other polices that relate to compliance to federal program guidelines Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 92 MMG ambulatory clinics, an urgent care clinic, and a virtual care service known as MethodistNOW. Our employees enjoy not only competitive salaries but also the outstanding benefits package of Methodist Health System, which includes medical, dental, and vision insurance; a matched retirement plan; an employee wellness program; and more. The opportunities for career growth are equally generous. Our affiliation means being part of an award-winning workplace: Newsweek’s America’s Most Admired Workplaces 2026 Glassdoor’s Best-Led Companies 2025 Fortune’s Best Workplaces in Health Care 2025 Great Place to Work Certified 2026-2026 Glassdoor’s Best Places to Work 2025 TIME’s Best Companies for Future Leaders 2025 Military Friendly – Gold Employer 2025 Newsweek’s America’s Greatest Workplaces for Mental Well-Being 2025 Becker’s Healthcare Top Places to Work in Healthcare 2025 Newsweek’s Greatest Workplaces 2025 Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned: Great Place to Work Certified 2026-2027 Glassdoor’s Best Places to Work 2025 & 2026 Glassdoor’s Best Places to Work in Healthcare, Biotech & Pharma 2026 TIME’s Best Companies for Future Leaders 2025 & 2026 Newsweek’s America’s Most Admired Workplaces 2026 Glassdoor’s Best-Led Companies 2025 Fortune Best Workplaces in Health Care 2025 Military Friendly Gold Employer 2025 Becker’s Hospital Review 150 Top Places to Work in Healthcare 2025 Newsweek’s Americas Greatest Workplaces 2025

Requirements

• High School Graduate or equivalent. Some college preferred
• 1 year of prior clinical and/or insurance experience.
• Knowledge of billing practices and clinic policies and procedures.
• Knowledge of ICD-9, ICD-10 and CPT codes for clinic operating policies.
• Strong proficiency using Microsoft Office products
• Strong oral and written communication skills
• Detail oriented, logical, and methodological approach to problem solving

Responsibilities

• Communicate clearly and openly
• Build relationships to promote a collaborative environment
• Be accountable for your performance
• Always look for ways to improve the patient experience
• Take initiative for your professional growth
• Be engaged and eager to build a winning team
• Ability to interpret Payer Clinical Policies in reference to practice procedures.
• Contacts Payer(s) in a timely manner to obtain, monitor, expedite, and track pre-authorization/pre-certification requests for planned services. Monitors changes in Authorization requests daily, to ensure a faster mode of notification retrieval.
• Identifies and provides accurate CPT/ ICD codes on the authorization request.
• Maintain appropriate logs or reports according to professional, state and federal requirements
• Refers authorization requests that require clinical judgment to the Provider, and/or Billing Manager, when necessary.
• Advises Manager of all patient complaints, and asks for assistance if problem resolution has not occurred with the patient
• Adheres to patient and office confidentiality guidelines as outlined by the policies and procedures of the office and hospital system as well as HIPPA, red flag regulations, and any other polices that relate to compliance to federal program guidelines

Benefits

• medical, dental, and vision insurance
• a matched retirement plan
• an employee wellness program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED