Insurance Authorization Specialist – Tuckahoe Orthopaedic & Physical Therapy

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

Job summary

Bon Secours Mercy Health is seeking an Insurance Authorization Specialist in Midlothian, VA. The role involves managing patient intakes, scheduling, and ensuring compliance with insurance guidelines. The ideal candidate should possess strong communication skills and be dedicated to providing excellent customer service in a health care setting.

Benefits

Comprehensive medical, dental, and vision plans

Prescription drug coverage

Flexible spending accounts

Life insurance with AD&D

Employer contributions to retirement savings plan

Paid time off

Educational Assistance

Qualifications

• High School Degree or GED required.
• Preferred one year in a clinic or doctor’s office.
• Preferred one year in a secretarial position.

Responsibilities

• Schedule patients, manage referrals, and check-in patients.
• Prepare and submit insurance forms, obtain authorizations.
• Maintain confidentiality of patient accounts and comply with HIPAA.

Skills

Problem-solving

Communication

Interpersonal skills

Basic math skills

Customer service

Education

High School Degree or GED

Job description

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.

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

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

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; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, 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]