Insurance Verification & Pre-Registration Specialist (Full-Time)

Waterfront Surgery Center is seeking a detail-oriented, customer-focused Insurance Verification & Pre-Registration Specialist to join our Business Office team. This position plays a vital role in preparing patients for their surgical experience by verifying insurance coverage, obtaining authorizations, and helping patients understand their financial responsibility before their procedure.

If you enjoy working in healthcare, have strong organizational skills, and take pride in providing exceptional customer service, we'd love to hear from you.

Position Summary

The Insurance Verification & Pre-Registration Specialist is responsible for verifying insurance eligibility and benefits, obtaining required authorizations, completing patient pre-registration, and communicating estimated patient financial responsibility prior to the date of service. This position works closely with patients, physician offices, insurance companies, and Surgery Center staff to ensure efficient and positive patient experience.

Essential Responsibilities

• Verify insurance eligibility, benefits, and coverage for scheduled surgical procedures.
• Obtain prior authorizations, referrals, and pre-certifications as required by insurance plans.
• Review insurance benefits to determine deductibles, copayments, coinsurance, and estimated patient responsibility.
• Contact patients to complete pre-registration and verify demographic and insurance information.
• Communicate estimated out-of-pocket costs and payment expectations in a courteous and compassionate manner.
• Document insurance verification and authorization information accurately in the electronic medical record and practice management system.
• Coordinate with physician offices and insurance carriers to resolve coverage issues prior to surgery.
• Answer incoming telephone calls and assist patients with registration and insurance-related questions.
• Provide support to other Business Office functions as needed, including registration, scheduling, and medical records.
• Maintain compliance with HIPAA and all organizational policies regarding confidentiality.

Qualifications

Required

• High school diploma or GED.
• At least one year of experience in a medical office, ambulatory surgery center, hospital registration, patient access, insurance verification, or a related healthcare setting.
• Experience with insurance verification, prior authorizations, and benefit interpretation.
• Knowledge of Medicare, Medicaid, commercial insurance, and managed care plans.
• Excellent communication and customer service skills.
• Strong attention to detail and organizational skills.
• Proficiency with computers and electronic medical record (EMR) systems.

Preferred

• Experience working in an ambulatory surgery center.

Skills & Attributes

• Excellent customer service and interpersonal skills.
• Ability to multitask and prioritize work in a fast-paced environment.
• Strong problem-solving and critical-thinking abilities.
• Professional, dependable, and team oriented.
• Commitment to maintaining patient confidentiality and accuracy.

Schedule

• Full-time
• Monday through Friday
• No weekends or holidays

Why Join Waterfront Surgery Center?

At Waterfront Surgery Center, we are committed to providing outstanding patient care in a collaborative, respectful, and professional environment. Every member of our team contributes to delivering safe, efficient, and compassionate surgical experience for our patients.

We offer:

• Competitive hourly pay
• Comprehensive benefits package
• Paid time off
• Paid holidays
• 401K (matching)
• Supportive team environment

Join our team and help create an exceptional experience for every patient—before they even arrive for surgery.

Experience:

• Insurance verification: 1 year (Required)

Work Location: In person