Pre-Service Billing & Scheduling Coordinator

Surgery Partners; Brentwood (TN); On-site; USD 40,000 - 52,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Health Savings Account (HSA)

Life insurance

PTO

401(k) matching

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 and billing details, while communicating financial responsibilities and Good Faith Estimates to patients.

You will coordinate with physicians and ASC staff to resolve pending or low-reimbursement cases, document actions in the billing system, and collect

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/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

Billing systems

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 and billing details, while communicating financial responsibilities and Good Faith Estimates to patients.

You will coordinate with physicians and ASC staff to resolve pending or low-reimbursement cases, document actions in the billing system, and collect