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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