PSR / Credentialing Specialist

Surgery Partners, Inc; Saratoga Springs (UT); On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

Health Savings Account with employer

Life Insurance

PTO

401(k) retirement plan with company 0%

Job summary

Surgery Partners, Inc is seeking a Patient Services Representative to perform general business office functions and support the patient experience in a medical office setting.

The role includes insurance verification, pre-authorizations, payments posting, and patient counseling on insurance and billing matters. Candidates should have front office experience in a medical environment and a high school diploma or GED.

Qualifications

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

Responsibilities

• Traching and assisting with physician credentialing;
• Other tasks as needed;
• 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 the time of service.
• Posts approved adjustments to patient accounts.
• Balances receipts, reconciles daily work batches and prepares audit trail.

Skills

Front office experience

Education

High school diploma or GED

College degree a plus

Job description

General Summary Of Duties
The Patient Services Representative performs general business office functions that may include some or all of the following:

• Traching and assisting with physician credentialing;
• Other tasks as needed;
• 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 the time of service.
• Posts approved adjustments to patient accounts.
• Balances receipts, reconciles daily work batches and prepares audit trail.
  

JOB TITLE: PSR

General Summary Of Duties
The Patient Services Representative performs general business office functions that may include some or all of the following:

• Traching and assisting with physician credentialing;
• Other tasks as needed;
• 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 the time of service.
• Posts approved adjustments to patient accounts.
• Balances receipts, reconciles daily work batches and prepares audit trail.
  

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.