Pre-Services Representative I - FT - Days - MSS - Hybrid eligible
Core
Verifies insurance coverage, coordinates benefits, obtains authorizations, and manages patient financial responsibilities for outpatient treatments and diagnostic services.
Role type
Pre-service representative (healthcare administration)
Builds
Patient appointment schedules and insurance authorization workflows
Domain
Healthcare administration / Insurance verification
Deliverable
client delivery
Required skills
Insurance verification, benefit coordination, authorization processing, patient financial counseling, data entry, scheduling
Preferred skills
Hospital authorization experience, health insurance knowledge
Responsibilities
Verify insurance coverage and coordinate benefits from all sources; Request and verify authorizations for ordered services; Schedule and reschedule outpatient treatments and diagnostic services; Discuss financial responsibilities and collect upfront payments; Handle inbound and outbound calls regarding orders, insurance, and authorizations; Update patient insurance information in records.
Seniority
Entry-level, individual contributor