Accountabilities:
As a Pre-Services Representative, you will be responsible for managing insurance verification, patient registration, and pre-service financial coordination to ensure accurate preparation before procedures. You will serve as a key point of contact for patients, families, and internal teams while maintaining high standards of accuracy, communication, and service.
Verify patient insurance eligibility, benefits, and coverage details before scheduled services.
Complete insurance pre-authorization and pre-certification verification while documenting information accurately in billing and electronic record systems.
Review cases requiring additional approval and coordinate with administrative teams regarding non-authorized or low-margin procedures.
Contact patients and families to explain insurance coverage, financial responsibilities, payment expectations, and available options.
Obtain, update, and validate patient demographic and insurance information in internal systems.
Register patients and maintain accurate documentation throughout the pre-service process.
Collect and review co-pays, deductibles, and other out-of-pocket expenses when required.
Work closely with healthcare teams to resolve insurance, scheduling, and payment-related issues.
Maintain compliance with healthcare privacy standards and organizational procedures.
Contribute to process improvements and support a collaborative team environment.
Requirements:
The ideal candidate brings experience in healthcare administration, insurance coordination, and patient-facing support. You should be detail-oriented, comfortable managing sensitive information, and able to communicate effectively in a busy healthcare environment.
High school diploma or GED required; college degree preferred.
Minimum of two years of front-office experience in a medical environment, including insurance and scheduling responsibilities.
Experience working with payer portals, insurance authorizations, payment policies, and reimbursement processes.
Knowledge of ICD-10 and CPT coding terminology.
Strong customer service skills with the ability to communicate clearly and professionally with patients and families.
Ability to work independently while contributing effectively within a team environment.
Strong organizational skills with attention to accuracy and documentation.
Ability to adapt quickly to changing priorities and navigate uncertainty.
Resourceful problem-solving mindset with the ability to identify solutions and manage complex situations.
Ability to handle difficult conversations professionally and maintain positive relationships.
Strong focus on delivering results while prioritizing patient needs.
Benefits:
Comprehensive health, dental, and vision insurance.
Health Savings Account with employer contributions.
Life insurance coverage.
Paid time off (PTO).
401(k) retirement plan with company match.
Remote work opportunity.
Supportive team environment with opportunities to contribute to meaningful healthcare operations.
Additional benefits and employee programs.
How Jobgether works:
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
Why Apply Through Jobgether?
Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
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