Job Summary
The role involves ensuring that patients have the correct insurance coverage by verifying information, securing pre-authorizations, and accurately registering patients. This position requires effective communication and coordination with both physician offices and ASC administration to address any authorization or reimbursement challenges. Additionally, the role entails informing patients about their financial obligations, providing Good Faith Estimates, and collecting necessary payments prior to or during service delivery.
Responsibilities
- Confirm insurance coverage for patients and document necessary pre-authorizations.
- Accurately register patients to ensure correct information is obtained.
- Collaborate with physician offices and ASC administration to solve authorization or reimbursement issues.
- Clarify patients’ financial responsibilities and provide Good Faith Estimates.
- Collect payments required before or at the time of service.
Qualifications
- High school diploma or GED is necessary; a college degree is preferred.
- Minimum of two years of experience in a medical front-office setting is required.
- Experience with insurance verification, scheduling, and obtaining pre-authorizations is essential.
- Familiarity with payer portals, reimbursement policies, ICD-10, and CPT coding is important.
Surgery Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
