This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Pre-Services Representative based in United States.
This role offers the opportunity to support patients through critical healthcare administrative processes before scheduled procedures.
You will play an essential part in ensuring accurate insurance verification, authorization management, and patient financial communication.
The position combines healthcare operations, customer service, and attention to detail in a fast-paced environment.
You will collaborate with clinical and administrative teams to help create a smooth experience for patients and families.
This is a great opportunity for someone who enjoys problem-solving, supporting others, and navigating complex insurance processes.
The role provides meaningful impact by improving operational efficiency and helping patients understand their healthcare responsibilities.
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Pre-Services Representative based in United States.
This role offers the opportunity to support patients through critical healthcare administrative processes before scheduled procedures.
You will play an essential part in ensuring accurate insurance verification, authorization management, and patient financial communication.
The position combines healthcare operations, customer service, and attention to detail in a fast-paced environment.
You will collaborate with clinical and administrative teams to help create a smooth experience for patients and families.
This is a great opportunity for someone who enjoys problem-solving, supporting others, and navigating complex insurance processes.
The role provides meaningful impact by improving operational efficiency and helping patients understand their healthcare responsibilities.
Accountabilities:
- 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.
- 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.
- 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.
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.
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.