Surgical Cost Estimator

Published February 17th, 2025

Surgical Cost Estimator
Assignment: 
Temp to hire
Location: Farmington CT
Schedule: Monday through Friday 8am-4:30pm
Pay: $23-24/hour 

Job Summary: Responsible for providing accurate cost estimates for orthopedic surgeries, ensuring that patients are informed of their financial responsibilities ahead of time. 

Responsibilities: 

  • Provide detailed, accurate cost estimates for a variety of orthopedic surgeries (e.g., joint replacements, spinal surgeries, arthroscopies). 
  • Review and interpret patients’ insurance benefits, including copays, deductibles, and out-of-pocket maximums to provide estimates. 
  • Work closely with insurance companies and third-party vendors to obtain the most accurate and up-to-date cost information. 
  • Communicate cost estimates clearly to patients and answer any questions regarding their financial responsibilities.
  • Verify patient insurance coverage and determine what services are covered, including any required pre-authorizations.
  • Proactively identifies discrepancies within EPIC Tool and works with appropriate teams to resolve.
  • Work closely with orthopedic surgeons, nurses, and other office staff to ensure seamless coordination of surgery costs and patient billing.

Qualifications:

  • High School Diploma or equivalent
  • MUST have previous experience with surgical cost estimation of some sort 
  • Experience in medical billing, coding, or a similar role
  • Knowledge of insurance plans, CPT/ICD-10 codes and preferably orthopedic procedures 

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