Pre-Services Representative

This is a fully remote position, open to applicants in Tennessee.

📋 Description

• Verification of insurance and eligibility status

• Documentation and verification of insurance pre-authorization/pre-certifications within the billing system

• Requests administrative approval or reschedules any cases that are unauthorized or have low margins

• Communicates and advises patients and their families regarding insurance coverage, patient responsibilities, and payment concerns before surgery

• Ensures that all insurance, demographic, and eligibility data is accurately collected from patients and entered into the billing system promptly

• Registers patients in the system

• Gathers and updates all patient insurance information

• Collects co-pays, deductibles, and other out-of-pocket expenses upon patient request before or during the service.

⛳️ Requirements

• High school diploma or GED is mandatory

• A college degree is advantageous

• A minimum of two years of front office experience in a medical setting

• Familiarity with insurance processes and scheduling

• Proficient in using Payor portals, authorization processes, Payor payment policies, and contract reimbursement

• Excellent customer service abilities

• Knowledge of ICD-10 and CPT coding.

🏝️ Benefits

• Comprehensive health, dental, and vision insurance

• Health Savings Account with employer contributions

• Life insurance coverage

• Paid Time Off (PTO)

• 401(k) retirement plan with company matching

• And more!