Healthcare Insurance Verification & Scheduling Specialist

China Reform Holdings Corporation; Laconia (NH); On-site; USD 42,000 - 54,000; Full time

Job summary

Concord Hospital is seeking a Pre Services Representative to verify insurance coverage for outpatient services and assist with pre-service scheduling and patient access. The role includes insurance verification, scheduling, and medical necessity considerations, functioning within a 16+ member team.

The position requires a high school diploma, at least three years in a healthcare setting, and strong communication and problem-solving skills to ensure accurate scheduling and billing of encounters.

Qualifications

• Prior knowledge of insurance policies and coverage.
• Minimum 3 years of healthcare-related experience.
• Strong communication, critical thinking and problem-solving skills.
• Team-oriented with the ability to work independently.

Responsibilities

• Perform insurance verification for outpatient radiology imaging and cardiovascular testing.
• Schedule, reschedule and cancel appointments per guidelines.
• Handle calls professionally per Pre Services standards.
• Verify insurance benefits and approvals for outpatient imaging and procedures.
• Notify payers of admissions or observation status.
• Manage fax queue and communications with patients and partners.
• Research cost of care upon request.

Skills

Communication skills

Critical thinking

Problem solving

Interpersonal skills

Team player

Education

High school diploma or GED

Tools

Microsoft Office

Windows

Job description

Concord Hospital is seeking a Pre Services Representative to verify insurance coverage for outpatient services and assist with pre-service scheduling and patient access. The role includes insurance verification, scheduling, and medical necessity considerations, functioning within a 16+ member team.

The position requires a high school diploma, at least three years in a healthcare setting, and strong communication and problem-solving skills to ensure accurate scheduling and billing of encounters.