Pre Service Representative

Surgery Partners • Brentwood, TN

1d

About The Position

The Pre Service Representative manages pre-operative administrative tasks for scheduled procedures at an Ambulatory Surgery Center (ASC). Responsibilities include verifying insurance eligibility, obtaining required pre-authorizations, accurately entering patient demographic and insurance information for billing, and communicating patients’ financial responsibilities. The representative provides Good Faith Estimates in compliance with the No Surprises Act and coordinates with physician offices and ASC administration to resolve pending or low-reimbursement cases before the date of service. Actions are documented in the billing system, and patient co-pays, deductibles, and other payments are collected before or at the time of service.

Requirements

• High school diploma or GED required.
• Minimum of two years of front office experience in a medical environment.
• Experience with insurance verification, scheduling, and pre-authorizations.
• Experience using payer portals and understanding payer payment policies and contract reimbursement methodologies.
• Strong customer service skills.
• Strong initiative and ability to work effectively in a team environment.
• Knowledge of ICD-10 and CPT coding.

Nice To Haves

• College degree preferred.

Responsibilities

• Verify insurance eligibility and coverage.
• Complete insurance pre-authorizations and pre-certifications, and document approvals in billing and electronic document systems.
• Coordinate with ASC administration to obtain approval or reschedule non-authorized or low-margin cases.
• Communicate with patients and families about insurance coverage, financial responsibility, and payment requirements before surgery.
• Obtain and enter accurate insurance, demographic, and eligibility information into the billing system, and register patients in a timely manner.
• Collect and update patient insurance information as needed.
• Collect co-pays, deductibles, and other out-of-pocket payments before or at the time of service.
• Provide Good Faith Estimates in compliance with the No Surprises Act.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED