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Front End Services Representative
nimble solutions. Calculate and provide accurate, timely cost estimates for scheduled procedures based on patient insurance, benefits, and historical data .
About the role
Key responsibilities & impact- Calculate and provide accurate, timely cost estimates for scheduled procedures based on patient insurance, benefits, and historical data
- Verify insurance eligibility, benefits, and coverage levels for Medicare, Medicaid, and Commercial plans
- Review and provide timely prior authorization submissions based on patient insurance, benefits, and clinical data
- Communicate with patients regarding estimated financial liability, payment options, and financial counseling needs
- Secure necessary pre-certifications and authorizations and ensure documentation accuracy
- Research and answer patient questions using multiple systems, including practice management systems
- Adhere to HIPAA privacy regulations when handling incoming, returning, or outbound calls
- Obtain patient payment information, process payments, and document accounts appropriately
- Escalate issues to supervisors or management
- Follow client-specific protocols during patient billing cycles
- Respond professionally and promptly to requests and follow up on outstanding requests
Requirements
What you’ll need- High School Diploma or equivalent
- Exceptional customer service skill set
- Mandatory compliance with strict patient confidentiality policies
- Detail oriented
- Basic computer knowledge, with Excel experience
- Strong organizational and time management skills
- Good written and oral communication skills
- Ability to work 8:30AM–5:00PM Pacific Standard Time; candidates in Mountain or Central Time Zones also considered
- HIPAA privacy compliance
- Experience with practice management systems and multiple systems navigation
Benefits
Comp & perks- Remote work
- Day shift
- Monday to Friday schedule
- 8-hour shift
- Opportunity to join a well-established and market-leading brand
- Valuable experience working closely with Executive leadership
- Positive culture-building environment