Insurance Authorization Specialist – Tuckahoe Orthopaedic & Physical Therapy

Bon Secours Health System; Mechanicsville (VA); On-site; USD 35,000 - 50,000; Full time

Job summary

Bon Secours Health System seeks an Insurance Authorization Specialist for its Tuckahoe Orthopaedic & Physical Therapy office in Mechanicsville. This role involves managing patient scheduling, handling referrals, and ensuring proper communication and billing processes with a focus on exceptional service. Ideal candidates will have a high school diploma or GED and demonstrate effective communication skills.

Benefits

Comprehensive medical, dental, and vision plans

Flexible spending accounts

Life insurance with AD&D

Paid time off

Educational Assistance

Qualifications

• High School Degree or GED required.
• Experience in a clinic or doctor's office preferred.
• Excellent communication and interpersonal skills required.

Responsibilities

• Answer phones, manage patient records, and ensure accurate billing.
• Prepare and submit insurance forms and obtain authorizations.
• Maximize scheduling efficiency for patients and therapists.

Skills

Customer Service

Problem Solving

Communication

Interpersonal Skills

Education

High School Degree or GED

Job description

Thank you for considering a career at Bon Secours Mercy Health!

S cheduled Weekly Hours:

40

Work Shift:

Days (United States of America)

Bon Secours

About Us

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.

Insurance Authorization Specialist – Tuckahoe Orthopaedic & Physical Therapy - Mechanicsville, VA

PRIMARY FUNCTION/GENERAL PURPOSE OF POSITION

Works directly with the Office Coordinator, Clinical Coordinator, as well as Physicians to handle all functions of daily operations. Schedule patients, intakes, and manage referrals. Check-in patients, answer phone in polite and timely manner, register patients, medical records, co-pay collections and deposits. Must provide the highest level of customer service and professionalism to patients and co-workers. Proficient in current software and maintains daily, weekly, and monthly reports for support staff as directed by supervisors. Works closely with all members of the Physicians team to achieve financial and program objectives.

ESSENTIAL JOB FUNCTIONS:

• Answering the phone, co-pay collections, deposits, medical records and keeping patient files up to date and accurate.
• Creating, editing, updating, and building the therapist and patient schedules to maximize efficiency and minimize downtime
• Assists in invoicing system by scanning and e-mailing invoices to accounts payable.
• Responsible for registering patients in a timely manner.
• Prepares and submits insurance forms, obtains authorizations and any additional documentation in accordance with requirements of insurance companies and contracted clients.
• Ensures accurate and timely payment posting and reconciliation of billing.
• Assists in the preparation of financial and billing reports on a regular basis and as requested.
• Maintains confidentiality in working with all patient accounts, insurance, and financial information always. Complies with HIPPA guidelines to protect patient data privacy.
• Listening effectively to patient complaints while finding effective solutions through fact finding with staff and providers while monitoring complaints for on-going trends.

REQUIRED QUALIFICATIONS:

• High School Degree or GED

PREFERRED QUALIFICATIONS:

• One year in a clinic or doctor’s office
• One year in a secretarial position
• Possesses problem-solving skills, basic computer skills, 40 WPM typing skills with excellent communication and interpersonal skills
• Engage with staff and patients in a professional manner
• Basic math skills

BON SECOURS MISSION, VALUES, CUSTOMER ORIENTATION AND

CONTINUOUS QUALITY IMPROVEMENTS FOCUS:

It is the responsibility of all employees to learn and utilize continuous quality improvement principles in their daily work.

All employees are responsible for extending the mission and values of the Sisters of Bon Secours by understanding each customer, treating each patient, staff member and community in a dignified manner with respect, kindness, and understanding and subscribing to the organization’s commitment to quality and service.

The above statements are intended to describe the nature and level of work being performed by individuals assigned to this classification and are not to be construed as an exhaustive list of all job duties. This document does not create an employment contract, and employment with Bon Secours Health System is “at will”.

Bon Secours is an equal opportunity employer.

Many of our opportunities reward* your hard work with:

• Comprehensive, affordable medical, dental and vision plans
• Prescription drug coverage
• Flexible spending accounts
• Life insurance w/AD&D
• Employer contributions to retirement savings plan when eligible
• Paid time off
• Educational Assistance
• And much more

*Benefits offerings vary according to employment status

Bon Secours M ercyHealth is an equal opportunity employer.

Many of our opportunities reward* your hard work with:

• Comprehensive, affordable medical, dental and vision plans
• Prescription drug coverage
• Flexible spending accounts
• Life insurance w/AD&D
• Employer contributions to retirement savings plan when eligible
• Paid time off
• Educational Assistance
• And much more

*Benefits offerings vary according to employment status.

Department:

OS-Tuckahoe Orthopedics

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, a ll 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; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email [e-mail]. 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 [e-mail] .