Bon Secours Health System
Referral and Insurance Specialist – St. Francis Cancer Center
Bon Secours Health System, Greenville, South Carolina, us, 29610
Referral and Insurance Specialist – St. Francis Cancer Center
Thank you for considering a career at Bon Secours!
Scheduled Weekly Hours:
40
Work Shift:
Days (United States of America)
Bon Secours
As a faith‑based and patient‑focused organization, Bon Secours exists to enhance the health and well‑being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive.
Job Summary The Referral and Insurance Specialist obtains authorizations from insurance companies for referrals to physicians and/or procedures/testing. Verifies eligibility/coverage for referral via phone/fax/Internet. Schedule appointments for testing at medical facilities or appointments with physicians. Gathers charge information and enters all pertinent charge and patient demographic information into computer billing system. Posts all payments and makes daily deposits. Assists patients regarding billing questions and account balance resolution. Promotes a positive and helpful climate for good interpersonal and interdepartmental relationships.
Essential Functions
Obtains authorizations from insurance companies for referrals to physicians/medical facilities and/or procedures/testing.
Schedules appointments for testing at medical facilities or appointments with physicians.
Verifies eligibility/coverage for referral/testing via phone/fax/Internet.
Investigates billing problems and denials.
Notifies patients of referral process whether authorized or denied in a timely manner. Gives patients instructions.
Performs data input of patient and/or insurance changes and corrections to ensure current and accurate information in billing system.
Answers the telephone, takes messages, schedules appointments and greets patients as needed.
Prepares patient charge encounter forms for each day and makes new or updates patient chart as needed.
Oversees waiting area, coordinates patient movement, and reports problems or irregularities.
Screens visitors and responds to routine requests for information.
Organizes and files progress notes, testing reports, and other forms necessary for chart completion. Assists with appropriate filing of patient charts as needed.
Collects patient responsibility balances and copayments as needed. Balances money collected daily.
Opens and distributes daily mail as needed.
Obtains authorizations from insurance carriers or pharmacy benefit managers for medications.
Collects all daily charge slips from the physician and reconciles the number of charge slips and their totals.
Applies all payments to the appropriate patient account by posting each into the computer billing systems.
Inputs all charge information into the online billing system.
Assists with coding and error resolution as well as requesting needed information by working with the physician offices.
Works with patients in resolving billing questions and patient account resolution.
As applicable, reviews information to make determination on the appropriate course of action for the patient, makes referrals to the local DSS office as appropriate.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job‑related duties as required by their supervisor, subject to reasonable accommodation.
Education High School Diploma or GED (required)
Licensure/Certification None
Experience 2–3 years of experience in a related medical field with experience in processing referrals (preferred)
Bon Secours is an equal opportunity employer.
As a Bon Secours associate, you’re part of a Mission that matters. We support your well‑being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
What we offer
Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
Paid time off, parental and FMLA leave, shot‑ and long‑term disability, backup care for children and elders
Tuition assistance, professional development and continuing education support
Benefits may vary based on the market and employment status.
Department Hematology Oncology – St. Francis Cancer Center
It is our policy to abide by all Federal and State laws, as well as the requirements of 41 CFR 60‑1.4(a), 60‑300.5(a) and 60‑741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia or Petersburg, Virginia or Emporia, Virginia, which are affirmative action and equal opportunity employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact the Talent Acquisition Team at recruitment@mercy.com.
#J-18808-Ljbffr
Scheduled Weekly Hours:
40
Work Shift:
Days (United States of America)
Bon Secours
As a faith‑based and patient‑focused organization, Bon Secours exists to enhance the health and well‑being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive.
Job Summary The Referral and Insurance Specialist obtains authorizations from insurance companies for referrals to physicians and/or procedures/testing. Verifies eligibility/coverage for referral via phone/fax/Internet. Schedule appointments for testing at medical facilities or appointments with physicians. Gathers charge information and enters all pertinent charge and patient demographic information into computer billing system. Posts all payments and makes daily deposits. Assists patients regarding billing questions and account balance resolution. Promotes a positive and helpful climate for good interpersonal and interdepartmental relationships.
Essential Functions
Obtains authorizations from insurance companies for referrals to physicians/medical facilities and/or procedures/testing.
Schedules appointments for testing at medical facilities or appointments with physicians.
Verifies eligibility/coverage for referral/testing via phone/fax/Internet.
Investigates billing problems and denials.
Notifies patients of referral process whether authorized or denied in a timely manner. Gives patients instructions.
Performs data input of patient and/or insurance changes and corrections to ensure current and accurate information in billing system.
Answers the telephone, takes messages, schedules appointments and greets patients as needed.
Prepares patient charge encounter forms for each day and makes new or updates patient chart as needed.
Oversees waiting area, coordinates patient movement, and reports problems or irregularities.
Screens visitors and responds to routine requests for information.
Organizes and files progress notes, testing reports, and other forms necessary for chart completion. Assists with appropriate filing of patient charts as needed.
Collects patient responsibility balances and copayments as needed. Balances money collected daily.
Opens and distributes daily mail as needed.
Obtains authorizations from insurance carriers or pharmacy benefit managers for medications.
Collects all daily charge slips from the physician and reconciles the number of charge slips and their totals.
Applies all payments to the appropriate patient account by posting each into the computer billing systems.
Inputs all charge information into the online billing system.
Assists with coding and error resolution as well as requesting needed information by working with the physician offices.
Works with patients in resolving billing questions and patient account resolution.
As applicable, reviews information to make determination on the appropriate course of action for the patient, makes referrals to the local DSS office as appropriate.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job‑related duties as required by their supervisor, subject to reasonable accommodation.
Education High School Diploma or GED (required)
Licensure/Certification None
Experience 2–3 years of experience in a related medical field with experience in processing referrals (preferred)
Bon Secours is an equal opportunity employer.
As a Bon Secours associate, you’re part of a Mission that matters. We support your well‑being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
What we offer
Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
Paid time off, parental and FMLA leave, shot‑ and long‑term disability, backup care for children and elders
Tuition assistance, professional development and continuing education support
Benefits may vary based on the market and employment status.
Department Hematology Oncology – St. Francis Cancer Center
It is our policy to abide by all Federal and State laws, as well as the requirements of 41 CFR 60‑1.4(a), 60‑300.5(a) and 60‑741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia or Petersburg, Virginia or Emporia, Virginia, which are affirmative action and equal opportunity employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact the Talent Acquisition Team at recruitment@mercy.com.
#J-18808-Ljbffr