Pre-Op Services Rep - Medical Billing & Scheduling

Surgery Partners; United States; Remote; USD 36,000 - 54,000; Full time

Benefits offered by this job

Health Insurance

HSA (Health Savings Account)

Life Insurance

Paid Time Off

401(k) with company match

Job summary

Surgery Partners is seeking a Pre Service Representative to manage pre-operative administrative tasks at the Ambulatory Surgery Center. You will verify insurance eligibility, secure pre-authorizations, and ensure accurate patient demographics for billing.

You will communicate financial responsibilities and provide Good Faith Estimates under No Surprises Act guidelines. The role involves coordinating with physicians and ASC administration, resolving pending or low-reimbursement cases before

Qualifications

• 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/pre-certifications 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

Initiative & teamwork

ICD-10 coding

CPT coding

Education

High school diploma or GED

Tools

Payer portals

Job description

Surgery Partners is seeking a Pre Service Representative to manage pre-operative administrative tasks at the Ambulatory Surgery Center. You will verify insurance eligibility, secure pre-authorizations, and ensure accurate patient demographics for billing.

You will communicate financial responsibilities and provide Good Faith Estimates under No Surprises Act guidelines. The role involves coordinating with physicians and ASC administration, resolving pending or low-reimbursement cases before