Pre-Services Insurance & Scheduling Specialist

Concord Hospital; Concord (NH); On-site; USD 25,000 - 36,000; Full time

Job summary

Concord Hospital in Concord, NH is seeking a Pre Services Representative responsible for pre-service scheduling, patient access, pre-registration, insurance verification, financial clearance and denial management.

Full-time 40 hours/week, 8:30 am–5:00 pm, with flexibility to stay until 6 pm; located at S. Main Street Concord.

Requires a high school diploma, strong communication, knowledge of insurance policies, and ability to work in a team.

Qualifications

• Must have knowledge of insurance policies, coverage, and prior authorization requirements.
• Minimum of three years in a healthcare or related environment.
• Strong communication, critical thinking, problem-solving, and interpersonal skills.
• Ability to work in a 16+ member team and independently.

Responsibilities

• Authorize insurance for elective outpatient radiology imaging and testing.
• Schedule, reschedule, and cancel appointments; enter data per guidelines.
• Handle calls professionally; adhere to department standards.
• Verify benefits and approvals for outpatient imaging and procedures.
• Notify payers of admissions/observation as required.
• Manage faxes in the Work Queue Monitor.
• Communicate with patients, providers, payers, and partners to schedule and bill.
• Research requests for cost of care.

Skills

Insurance policies

Prior authorization

Microsoft Office

Windows navigation

Communication skills

Critical thinking

Interpersonal skills

Education

High school diploma or GED

Tools

Microsoft Office

Windows OS

Job description

Concord Hospital in Concord, NH is seeking a Pre Services Representative responsible for pre-service scheduling, patient access, pre-registration, insurance verification, financial clearance and denial management.

Full-time 40 hours/week, 8:30 am–5:00 pm, with flexibility to stay until 6 pm; located at S. Main Street Concord.

Requires a high school diploma, strong communication, knowledge of insurance policies, and ability to work in a team.