Pre-Services Representative - I - Hybrid - FT - Days - MSS
Core
Verifies insurance coverage, coordinates benefits, obtains authorizations, and manages patient financial responsibilities for outpatient treatments and diagnostic services.
Role type
Pre-service representative (medical billing and authorization)
Builds
Outpatient treatment and diagnostic service authorizations and patient financial accounts
Domain
Healthcare administration / Medical billing
Deliverable
client delivery
Required skills
Insurance verification, benefits coordination, authorization management, patient communication, 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 physician orders for outpatient treatments; Discuss financial responsibilities and collect upfront payments with patients; Handle inbound and outbound calls regarding pre-service functions; Document call details and dispositions; Update patient insurance information in records.