Medical Authorization Specialist (MedTech)

Location: Lewisville, Texas, Dallas Headquarters, USA

Company

hirify.global is a medical technology company developing clinically differentiated products, services, and integrated technologies for orthopedics and active lifestyles.

What you will do

• Verify patient insurance eligibility and coordinate benefits in accordance with payer guidelines.
• Manage compliant order entry, benefit verification, authorization follow-up, and account resolution.
• Determine revenue amounts using allowable amounts, benefits, unit pricing, copayments, and contract terms.
• Obtain supporting documentation from Sales and resolve submission issues involving medical records and coding validation.
• Communicate medical necessity, negotiate coverage and pricing, and monitor payer trends.
• Maintain current knowledge of hirify.global products, competitors, clinical publications, compliance requirements, and applicable codes of conduct.

Requirements

• High school diploma or GED.
• At least 3 years of experience in compliant patient billing, customer service, claims processing, or a related healthcare environment.
• Knowledge of ICD-10 coding, medical terminology, third-party billing and collections, and managed care requirements.
• Proficiency with Microsoft Office applications and compliant insurance follow-up processes, including Medicare, Medicaid, and commercial payer practices.
• Strong attention to detail, effective communication skills, and a commitment to patient care and compliance.
• Must already have full-time work authorization in the United States and be able to maintain it without sponsorship.

Nice to have

• Experience responding to patient and insurance inquiries.
• Experience with DataWorks, Computers Unlimited TIMS, or similar case management software.

Culture & Benefits

• Collaborative work with internal and external partners across Revenue Cycle Management.
• Medical, dental, and vision insurance.
• Spending and savings accounts, a 401(k) plan, and income protection plans.
• Vacation, sick leave, holidays, discounted insurance rates, and legal services.
• No travel is required for this position.