Pre-Op Administrative & Insurance Specialist

Surgery Partners, Inc.; Brentwood (TN); On-site; USD 25,000 - 30,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

Health Savings Account with employer.

Life Insurance

PTO

401(k) with company match

Job summary

Surgery Partners in Brentwood, TN seeks a Pre Service Representative to manage all pre-operative administrative tasks for scheduled procedures at the Ambulatory Surgery Center. Responsibilities include verifying insurance eligibility, securing pre-authorizations, and ensuring accurate entry of patient demographics for proper billing.

The PSR communicates financial responsibilities to patients, provides Good Faith Estimates under the No Surprises Act, coordinates with physician offices and ASC

Qualifications

• High school diploma or GED required.
• Minimum of two years of front office experience in a medical environment.
• Experience with insurance verification, scheduling, and pre-authorizations.
• Experience utilizing payer portals and understanding payer payment policies and contract reimbursement methodologies.

Responsibilities

• Verify insurance eligibility and coverage.
• Complete insurance pre-authorizations and document approvals in the billing and electronic document systems.
• Coordinate with ASC administration to obtain approval or reschedule non-authorized or low-margin cases.
• Communicate with patients and families regarding insurance coverage, financial responsibility, and payment requirements prior to surgery.
• Obtain and enter accurate insurance, demographic, and eligibility information into the billing system and register patients in a timely manner.
• Collect and update patient insurance information as needed.
• Collect co-pays, deductibles, and other out-of-pocket payments prior to or at the time of service.

Skills

Strong initiative

Teamwork

ICD-10 coding

CPT coding

Education

High school diploma or GED

Job description

Surgery Partners in Brentwood, TN seeks a Pre Service Representative to manage all pre-operative administrative tasks for scheduled procedures at the Ambulatory Surgery Center. Responsibilities include verifying insurance eligibility, securing pre-authorizations, and ensuring accurate entry of patient demographics for proper billing.

The PSR communicates financial responsibilities to patients, provides Good Faith Estimates under the No Surprises Act, coordinates with physician offices and ASC