Pre-Service Specialist

Surgery Partners, Inc•White City, UT

About The Position

The Pre-Service Specialist performs general business office functions that may include some or all of the following: charge capture and over-the-counter payment posting; insurance verification and eligibility; insurance pre-authorization/pre-certifications; and counseling patients and families on insurance and payment issues prior to surgery. The role ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the billing system accurately and timely. Responsibilities include registering patients, collecting and revising patient insurance information, collecting co-pays, deductibles, and other out-of-pocket amounts at or before the time of service, posting approved adjustments, and balancing receipts, reconciling daily work batches, and preparing an audit trail. Other pre-service or business office functions as deemed necessary by the Business Office Manager may also be assigned.

Requirements

High school diploma or GED required
Two years minimum front office experience in a medical environment

Nice To Haves

College degree a plus

Responsibilities

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
Ensuring all insurance, demographic, and eligibility information is obtained from patients and entered into the billing system in an accurate and timely manner
Registering patients in the system
Collecting and revising all patient insurance information
Collecting co-pays, deductibles and other out of pocket amounts at or before the time of service
Posting approved adjustments to patient accounts
Balancing receipts, reconciling daily work batches and preparing audit trail
Performing any other pre-service or business office functions as deemed necessary by the Business Office Manager