Authorization Specialist

Company Description

The Plastic Surgery Center is the largest plastic surgery practice in New Jersey, with a growing team of surgeons and multiple office locations across NJ, NY, and PA. Its board-certified surgeons bring decades of experience in cosmetic and reconstructive procedures for the face, body, and skin, using advanced techniques and technologies. The practice offers a wide range of surgical and non-surgical treatments, including body contouring, breast surgery, facial procedures, and medical spa services through IT Aesthetix.

It is also home to The Institute for Advanced Reconstruction, a nationally recognized center for complex nerve and reconstructive surgeries that provide options for patients with challenging conditions. The organization is committed to compassionate, patient-centered care in convenient locations for a diverse patient base.

The Authorization Specialist is a full-time, on-site role based in Shrewsbury, NJ. This role is responsible for obtaining, verifying, and tracking insurance authorizations for surgical and non-surgical procedures, ensuring all approvals are secured prior to scheduled services. The Authorization Specialist reviews patient benefits, communicates with insurance carriers, and confirms coverage, deductibles, and co-payments. Day-to-day tasks include accurately documenting authorization details, updating patient records, coordinating with clinical and scheduling teams, and resolving authorization-related issues or denials.

The role also involves educating patients on their financial responsibilities, maintaining compliance with payer guidelines, and supporting a smooth, efficient practice workflow.

• Experience with insurance verification, pre-certification, and prior authorization processes in a medical or surgical practice.
• Proficiency with electronic health records (EHR), practice management systems, and basic office software (e.g., MS Office).
• Strong attention to detail, organizational skills, and the ability to manage multiple cases and deadlines.
• Clear and professional communication skills for interacting with patients, surgeons, staff, and insurance representatives.
• Basic knowledge of medical terminology, CPT/ICD codes, and payer policies; specialty practice experience is a plus.
• Ability to work collaboratively in a fast-paced clinical environment and maintain confidentiality of patient information.
• Prior experience in plastic surgery, outpatient surgery, or specialty authorization roles is preferred.
• High school diploma or equivalent required; post-secondary education or certification in medical billing/insurance is beneficial.