Job Application for Pre Services Authorization at Surgery Partners

New

Accessibility Note:

Surgery Partners is committed to complying with all applicable provisions of the Americans with Disabilities Act, as amended (“ADA”), and applicable state and local laws. It is the Company’s policy not to discriminate against any qualified people or applicant with regard to any terms or conditions of employment on the basis of such individual’s disability. Consistent with this policy of non-discrimination, the Company will provide reasonable accommodations to an individual with a disability, as defined in the ADA or applicable law, who has made the Company aware of his/her disability, unless doing so would cause an undue hardship to the Company. If you are an applicant and need a reasonable accommodation when applying for job opportunities within the Company or request a reasonable accommodation to utilize the Company’s online employment application, please contact talentacquisition@surgerypartners.com

JOB SUMMARY

The Pre-Services Representative (PSR) manages all pre-operative administrative tasks for scheduled procedures at the Ambulatory Surgery Center (ASC). This includes verifying insurance eligibility, securing required pre-authorizations, and ensuring accurate entry of patient demographics and insurance details for proper billing. The PSR communicates with patients to explain financial responsibilities and provides Good Faith Estimates in compliance with the No Surprises Act. They coordinate with physician offices and ASC administration to resolve any pending or low-reimbursement cases before the date of service. The PSR also documents all actions in the billing system and collects co-pays, deductibles, and other payments prior to or at the time of service.

DUTIES AND RESPONSIBILITIES

Verify insurance eligibility and coverage.
Complete insurance pre-authorizations/pre-certifications and document approvals in the billing and electronic document systems.
Coordinate with ASC administration to obtain approval or reschedule non-authorized or low-margin cases.
Communicate with patients and families regarding insurance coverage, financial responsibility, and payment requirements prior to surgery.
Obtain and enter accurate insurance, demographic, and eligibility information into the billing system and register patients in a timely manner.
Collect and update patient insurance information as needed.
Collect co-pays, deductibles, and other out-of-pocket payments prior to or at the time of service.

QUALIFICATIONS

EDUCATION

High school diploma or GED required.
College degree preferred.

EXPERIENCE

Minimum of two years of front office experience in a medical environment
Experience with insurance verification, scheduling, and pre-authorizations.
Experience utilizing payer portals and understanding payer payment policies and contract reimbursement methodologies.

LICENSE(S)/CERTIFICATION(S)

None required.

KNOWLEDGE/SKILLS/ABILITIES

Strong customer service skills.
Strong initiative and ability to work effectively in a team environment.
Knowledge of ICD-10 and CPT coding.

Benefits:

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

Equal Employment Opportunity & Work Force Diversity

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.

Our organization is an Equal Opportunity Employer

Create a Job Alert

Interested in building your career at Surgery Partners? Get future opportunities sent straight to your email.

First Name

Last Name

Preferred First Name

Country

Phone

Location (City)

Resume/CV*

Accepted file types: pdf, doc, docx, txt, rtf

Cover Letter

Accepted file types: pdf, doc, docx, txt, rtf

Where did you hear about this opportunity?

Select...

What are your salary requirements?

Will you now or in the future require immigration sponsorship for work authorization (e.g H1-B)? (if hired, verification will be required consistent with federal law.)

Select...

Are you able to perform the essential functions of this position with or without a reasonable accommodation?

Select...

Are you currently excluded from participation in any federally funded health care program including Medicare and Medicaid and are you aware of any potential exclusion from a federally funded health program?

Select...

If yes, please explain:

Can you travel if the job requires?

Select...

Surgery Partners is a smoke free employer. Will you be able to comply with this policy?

Select...

SP: Internal candidates: Have you notified your current manager that you are applying for this position?

If you are not a current employee with Surgery Partners, write N/A.

Have you ever been employed by Surgery Partners or any of its affiliates in any capacity? If yes, please review and select the facility/facilities where you were employed from the list below. If no, please select N/A.

Select...

If you have previously worked for Surgery Partners or any of its affiliated facilities, please provide your dates of employment and any former name used during your employment (if applicable). If you have not previously worked for Surgery Partners, enter "N/A."

What is your highest level of completed education?

Are you at least 18 years of age?

Select...

Are you legally authorized to work in the United States without sponsorship?

Select...

Do you have any family members employed by Surgery Partners or one of its affiliates?

Select...

The hiring process will consist of an interview (s), drug screen, background check, reference/employment checks, and potential employment assessment. Are you willing to participate in this process?

Select...

What is the soonest date you would be able to begin work?

How many years of experience do you have requesting surgical procedure authorizations? *

None

1 - 2 years

2+ years

How many years of experience do you have with athenaOne EHR/RCM?

Zero

0-1 years

3 or more years

I certify that the answers I have provided to the foregoing questions are true and correct. I agree that my Application for employment may be rejected or my employment terminated because of false or misleading answers or because of any material omissions I make in this Application or during the selection process.

Select...

By selecting YES, I consent to receive recruiting SMS messages from Surgery Partners at the phone number provided on my job application.

Select...

Note: Selecting “no” will not eliminate you from consideration for this role.

Message and data rates may apply, depending on your mobile phone service plan. At any time you can get more help by replying HELP to these texts, or you can opt out completely by replying STOP.

Candidate Privacy Policy & Terms of Service

Pre Services Authorization

Accessibility Note:

DUTIES AND RESPONSIBILITIES

QUALIFICATIONS

EDUCATION

EXPERIENCE

LICENSE(S)/CERTIFICATION(S)

KNOWLEDGE/SKILLS/ABILITIES

Apply for this job