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Pre-Services Representative
Surgery Partners, IncResponsible for insurance verification and pre-authorization in medical billing processes. Engaging with patients on insurance coverage and payment responsibilities prior to surgical services.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance verification, patient registration, and billing processes, ensuring accurate documentation and effective communication with patients regarding their insurance coverage and financial responsibilities.
Highest-signal resume keywords
Insurance VerificationICD-10 KnowledgeCPT Code KnowledgeCustomer Service SkillsPayor Portal Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance Pre-AuthorizationEligibility VerificationPatient RegistrationBilling System DocumentationCo-Pay CollectionDeductible ManagementInsurance Information CollectionScheduling ExperienceContract Reimbursement KnowledgePayor Payment Policy Understanding
Soft Skills
Patient CounselingCommunication Skills
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Medical EnvironmentFront Office ExperienceASC Administration
About the role
Key responsibilities & impact- Insurance verification and eligibility
- Insurance pre-authorization/pre-certifications verification and documentation in the billing system
- Seeks ASC admin approval or rescheduling of any non-authorized or low margin cases
- Contacts and councils patients and families on insurance coverage, patient responsibility, and payment issues prior to surgery
- Ensures all insurance, demographic, and eligibility information is obtained from patients and entered in 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 prior to or at the time of service by patient request.
Requirements
What you’ll need- High school diploma or GED required
- College degree a plus
- Two years minimum front office experience in a medical environment
- Experience with insurance and scheduling
- Experience with Payor portal, authorization, Payor payment policy, and contract reimbursement
- Strong customer service skills
- ICD-10 and CPT code knowledge.
Benefits
Comp & perks- 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!