Bon Secours Mercy Health
Referral and Insurance Specialist – St. Francis Cancer Center
Bon Secours Mercy Health, Greenville, South Carolina, us, 29610
Referral and Insurance Specialist – St. Francis Cancer Center
Join to apply for the
Referral and Insurance Specialist – St. Francis Cancer Center
role at
Bon Secours Mercy Health .
At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.
Job Summary The Referral and Insurance Specialist obtains authorizations from insurance companies for referrals to physicians and/or procedures/testing, verifies eligibility/coverage, schedules appointments, gathers charge information, posts payments, assists patients with billing inquiries, and 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 and gives instructions.
Performs data input of patient and/or insurance changes and corrections to ensure current and accurate information in the 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 charts 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 system.
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 determine the appropriate course of action for the patient and makes referrals to the local DSS office as appropriate.
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)
Benefits
Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
Tuition assistance, professional development and continuing education support
Seniority Level Entry level
Employment Type Full-time
Job Function Health Care Provider
Industries Hospitals and Health Care
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. All applicants with a disability may request a reasonable accommodation at recruitment@mercy.com. Benefits may vary based on the market and employment status. Bon Secours Mercy Health is an affirmative action and equal opportunity employer.
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Referral and Insurance Specialist – St. Francis Cancer Center
role at
Bon Secours Mercy Health .
At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.
Job Summary The Referral and Insurance Specialist obtains authorizations from insurance companies for referrals to physicians and/or procedures/testing, verifies eligibility/coverage, schedules appointments, gathers charge information, posts payments, assists patients with billing inquiries, and 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 and gives instructions.
Performs data input of patient and/or insurance changes and corrections to ensure current and accurate information in the 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 charts 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 system.
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 determine the appropriate course of action for the patient and makes referrals to the local DSS office as appropriate.
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)
Benefits
Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
Tuition assistance, professional development and continuing education support
Seniority Level Entry level
Employment Type Full-time
Job Function Health Care Provider
Industries Hospitals and Health Care
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. All applicants with a disability may request a reasonable accommodation at recruitment@mercy.com. Benefits may vary based on the market and employment status. Bon Secours Mercy Health is an affirmative action and equal opportunity employer.
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