Pre-Services Specialist I

Memorial Healthcare System; Town of Florida (NY); On-site; USD 42,000 - 65,000; Full time

Job summary

Memorial Healthcare System is seeking a detail-oriented Insurance Verification Specialist to determine and verify coverage, request authorizations, and coordinate billing for outpatient services. This role involves discussing financial responsibilities with patients and guarantors, collecting upfront payments, and reviewing insurance benefits for accuracy.

Responsibilities include scheduling and rescheduling physician orders, communicating with patients and practitioners about insurance matters,

Qualifications

• High School diploma or equivalent is required.
• Experience with hospital authorizations preferred.
• Knowledge of health insurance processes is a plus.

Responsibilities

• Handles inbound and outbound calls to manage scheduling, authorizations, benefits, and patient responsibilities.
• Documents call details and disposition in the patient account.
• Inputs and reviews patient insurance information to ensure correct billing and net revenue estimation.
• Communicates with patients and practitioners regarding orders, insurance and authorization issues.
• Notifies guarantors of out-of-pocket responsibilities and collects pre-service payments.
• Ensures compliance with departmental payment procedures.

Skills

Insurance verification

Authorization handling

Customer service

Communication skills

Education

High School Diploma or Equivalent

Job description

Memorial Healthcare System is seeking a detail-oriented Insurance Verification Specialist to determine and verify coverage, request authorizations, and coordinate billing for outpatient services. This role involves discussing financial responsibilities with patients and guarantors, collecting upfront payments, and reviewing insurance benefits for accuracy.

Responsibilities include scheduling and rescheduling physician orders, communicating with patients and practitioners about insurance matters,