Pre Services Representative - Patient Financial Services | Full Time | Days

Concord Hospital • Concord, NH

2d • Onsite

About The Position

The Pre Services Representative performs one or more revenue cycle functions, including pre-service scheduling and patient access, pre-registration, insurance verification, financial clearance, and denial management. This is a full-time, 40-hour-per-week position at the S. Main Street Concord location, with regular hours of 8:30 a.m. to 5:00 p.m. Flexibility to work until 6:00 p.m. as needed is required.

The role supports elective outpatient radiology imaging, cardiovascular testing, procedures, surgical cases, and admissions by coordinating appointments, verifying insurance coverage and approvals, and communicating with patients, providers, payers, and colleagues. The work is sedentary and involves frequent computer and phone use.

Requirements

• High school diploma or equivalent (GED).
• Prior knowledge and expertise in insurance policies and coverage, medical necessity, and prior authorization requirements.
• At least three years of experience in a healthcare or related environment.
• Working knowledge of medical terminology and Microsoft Office applications, and ability to navigate a Windows-based environment.
• Exceptional communication, critical-thinking, problem-solving, and interpersonal skills.
• Ability to work effectively as part of a team and independently.
• Flexibility to work until 6:00 p.m. as needed.

Responsibilities

• Perform insurance authorization for elective outpatient radiology imaging and cardiovascular testing.
• Schedule, reschedule, and cancel appointments, entering data into Schapptbook according to program logic and scheduling guidelines.
• Handle phone calls professionally and efficiently in accordance with Pre Services department call standards.
• Use appropriate schedules and work lists to verify insurance benefits and approvals for outpatient imaging, elective procedures, surgical cases, and urgent or emergent admissions.
• Notify payers of patient admissions or placement in observation as required by payers.
• Manage faxes received in the Work Queue Monitor Program.
• Communicate with and respond to patients, providers, payers, other associates, business partners, and joint ventures using available tools to ensure accurate appointment scheduling and billing of encounters.
• Research and respond to requests for cost-of-care information.

What This Job Offers

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