Pre-Services Representative

Adventist Health; United States; On-site; USD 34,000 - 42,000; Full time

Job summary

Adventist Health in Roseville, California, is seeking a detail‑oriented Financial Clearance Associate to pre‑register patients, verify insurance eligibility, and determine estimated financial responsibility for hospital procedures in a timely manner.

You will work with nurses, billing staff, and external partners to facilitate admissions, coordinate authorizations, and educate patients through the financial process to support a positive patient experience.

Qualifications

• High School Education/GED or equivalent is required.
• Associate’s/Technical Degree or equivalent combination of education/related experience is preferred.
• Healthcare front office experience is preferred.
• Customer service experience is preferred.

Responsibilities

• Completes patients packets with all necessary forms and documents in preparation for admissions. Coordinates admissions activities to obtain patient information for billing and other departments.
• Assists customers with Medicaid/CMSP applications by evaluating documentation for completeness and arranging appointments with county welfare office.
• Maintains and updates patients accounts for medical and financial eligibility, obtaining billing, insurance and demographic information.
• Posts payments and adjusts accounts, provides insurance information and sets up payment schedules when needed.
• Performs other job-related duties as assigned.

Education

High School Education/GED or equivalent

Associate’s/Technical Degree or equivalent

Healthcare front office experience

Customer service experience

Job description

Job Description

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.

Job Summary

Obtains and verifies demographic, confidential clinical and financial information necessary to accurately and efficiently financially secure hospital procedures in a timely fashion. Pre-registers patient, verifies insurance eligibility and benefits, and identifies those services that require an insurance authorization, notification and/or recertification. Completes medical necessity review. Determines estimated financial responsibility. Communicates estimated financial responsibility to patients and collects payment. Adheres to all JCAHO, CMS, and HIPAA requirements when creating a hospital account. Works directly with nurses, medical staff, ancillary departments, insurance carriers, and other external professionals to assist patients with obtaining healthcare and financial services. Assists and educates patients through the process to provide a positive patient experience.

Job Requirements

Education and Work Experience:

• High School Education/GED or equivalent: Required
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
• Healthcare front office experience: Preferred
• Customer service experience: Preferred

Essential Functions

• Completes patients packets with all necessary forms and documents in preparation for admissions. Coordinates admissions activities in order to obtain all necessary patient information for billing, but also any needed by other departments such as medical records. Discusses, arranges and receives payment of bills with patient or representative for co-payments and private pay accounts.
• Assists customers with Medicaid/County Medical Services Program (CMSP) applications by evaluating documentation for completeness and accuracy, monitoring their compliance with requirements and establishing appointments with county welfare office.
• Maintains and updates patients accounts for medical and financial eligibility. Maintains reports related to case qualifications. Obtains all necessary billing, insurance and other demographic information from patient or representative. Obtains necessary authorizations for inpatient stays from utilization review.
• Posts payments and corresponding contractual adjustments to patient's accounts. Serves as a resource to public providing insurance information and benefits. Sets up payment schedules if patients or representative are unable to pay balances in full.
• Performs other job-related duties as assigned.

Organizational Requirements

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

About Us

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

JOB INFO

Job Identification : 70656

Job Category : Associate

Posting Date : 2026-10-29T21:35:21+00:00

Job Shift : Day Shift

Locations : United States

Assignment Category : Full-time regular

Pay Range : The estimated base pay for this position is $25.00 to $30.45. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.

Hiring Department : Acute Financial Clearance

Shift Length : 8 Hours