Insurance & Referral Navigator

Bon Secours Mercy Health; Paducah (KY); On-site; USD 25,000 - 33,000; Full time

Benefits offered by this job

Competitive pay

Referral bonuses

403(b) plan

Insurance coverage

Paid time off

Tuition assistance

Job summary

Bon Secours Mercy Health is seeking a Referral & Insurance Specialist at the Marshall Nemer Pavilion to obtain authorizations, verify coverage, and coordinate referrals for physicians and procedures. The role includes scheduling tests, handling billing questions, and maintaining accurate patient data within billing systems.

The ideal candidate has 2–3 years in a medical setting with referral processing experience and a high school diploma or GED.

Qualifications

• Two to three years of experience in a related medical field with experience in processing referrals.
• High School Diploma or GED is required.

Responsibilities

• 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. Give 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, take messages, schedule appointments and greet patients as needed.
• Prepares patient charge encounter forms for each day and makes new or updates patient chart as needed.
• Oversees waiting area, coordinate patient movement, and reports problems or irregularities.
• Collects patient responsibility balances and copayments as needed. Balance money collected daily.

Education

High School Diploma or GED

Job description

Bon Secours Mercy Health is seeking a Referral & Insurance Specialist at the Marshall Nemer Pavilion to obtain authorizations, verify coverage, and coordinate referrals for physicians and procedures. The role includes scheduling tests, handling billing questions, and maintaining accurate patient data within billing systems.

The ideal candidate has 2–3 years in a medical setting with referral processing experience and a high school diploma or GED.