Pre-Service Specialist

Surgery Partners, Inc; Sandy (UT); On-site; USD 32,000 - 46,000; Full time

Benefits offered by this job

Health Insurance

HSA

Life Insurance

PTO

401(k) Match

Job summary

Surgery Partners, Inc. is seeking a Pre-Service Specialist to support the medical front office, including insurance verification, pre-authorizations, and patient counseling prior to surgery.

The role requires basic high school education and at least two years of front office experience in a medical setting. The position emphasizes accuracy in data entry, verification of insurance, and handling co-pays and payments.

Qualifications

• High school diploma or GED required.
• College degree a plus.
• Two years minimum front office experience in a medical environment.

Responsibilities

• Charge capture and over-the-counter payment posting;
• Insurance verification and eligibility;
• Insurance pre-authorization/pre-certifications;
• Counseling patients and families on insurance and payment issues prior to surgery.
• Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into 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 at or before the time of service;
• Posts approved adjustments to patient accounts;
• Balances receipts, reconciles daily work batches and prepares audit trail;
• Any other pre-service or business office functions as deemed necessary by the Business Office Manager

Skills

Front office experience

Education

High school diploma or GED

Job description

General Summary Of Duties

The Pre-Service Specialist performs general business office functions that may include some or all of the following:

• Charge capture and over-the-counter payment posting;
• Insurance verification and eligibility;
• Insurance pre-authorization/pre-certifications;
• Counseling patients and families on insurance and payment issues prior to surgery.
• Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into 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 at or before the time of service;
• Posts approved adjustments to patient accounts;
• Balances receipts, reconciles daily work batches and prepares audit trail;
• Any other pre-service or business office functions as deemed necessary by the Business Office Manager

JOB TITLE: Pre-Service Specialist

General Summary Of Duties

The Pre-Service Specialist performs general business office functions that may include some or all of the following:

• Charge capture and over-the-counter payment posting;
• Insurance verification and eligibility;
• Insurance pre-authorization/pre-certifications;
• Counseling patients and families on insurance and payment issues prior to surgery.
• Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into 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 at or before the time of service;
• Posts approved adjustments to patient accounts;
• Balances receipts, reconciles daily work batches and prepares audit trail;
• Any other pre-service or business office functions as deemed necessary by the Business Office Manager

Requirements

• High school diploma or GED required.
• College degree a plus.
• Two years minimum front office experience in a medical environment.

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!

Equal Employment Opportunity & Work Force Diversity

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.