Jobs · OTHR

Preservice Authorization Rep - Remote

Surgery Partners, Inc · Nashville, TN · 5 days ago
RemoteRemoteOTHRFull-time

Description

Insurance verification and eligibility.

Insurance pre-authorization / pre-certifications verification and documentation in the billing system as well as electronic document system.

Sets ASC admin approval or reschedules any non-authorized or low margin cases.

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.

Collections co-pays, deductibles and other out of pocket amounts prior to or at the time of service by patient request.

Qualifications

  • 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.

Knowledge/Skills/Abilities

  • Strong customer service skills.
  • Strong initiative and ability to work in a team environment.
  • ICD-10 and CPT code knowledge.

Benefits

  • Comprehensive health, dental, and vision insurance.
  • Health Savings Account with an employer contribution.
  • Life Insurance.
  • Paid Time Off (PTO).
  • 401(k) retirement plan with a company match.
  • And more!

Working Conditions

  • Normal busy office environment with much telephone work.
  • Long hours as needed.

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