Pre-Services Representative

🔥 17 hours ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

✨ Representative

🚫👨‍🎓 No degree required

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Surgery Partners, Inc

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2004

👥 B2C

🤝 B2B

B2C • B2B

Surgery Partners, Inc. is a leading operator of surgical facilities and ancillary healthcare services, owning and managing more than 250 locations across 30 U. S. states. The company partners with physicians and hospitals to provide ambulatory surgery centers, multi-specialty physician practices, anesthesia services and other outpatient specialty care, serving hundreds of thousands of patients annually. Surgery Partners emphasizes flexible local partnerships (partner, affiliate, or employed physicians) and an integrated delivery model to deliver value to patients, physicians and payors.

📋 Description

• Insurance verification and eligibility • Insurance pre-authorization/pre-certifications verification and documentation in the billing system • Seeks ASC admin approval or rescheduling of any non-authorized or low margin cases • Contacts and councils patients and families on insurance coverage, patient responsibility, and payment issues prior to surgery • Ensures all insurance, demographic, and eligibility information is obtained from patients and entered in the billing system in an accurate and timely manner • Registers patients in the system • Collects and revises all patient insurance information • Collects co-pays, deductibles, and other out-of-pocket amounts prior to or at the time of service by patient request.

🎯 Requirements

• High school diploma or GED required • College degree a plus • Two years minimum front office experience in a medical environment • Experience with insurance and scheduling • Experience with Payor portal, authorization, Payor payment policy, and contract reimbursement • Strong customer service skills • ICD-10 and CPT code knowledge.

🏖️ Benefits

• Comprehensive health, dental, and vision insurance • Health Savings Account with an employer contribution • Life Insurance • PTO • 401(k) retirement plan with a company match • And more!