Medical Referral & Insurance Coordinator

Bon Secours Mercy Health; Michigan; On-site; USD 35,000 - 55,000; Full time

Benefits offered by this job

Competitive pay

Benefits package

Paid time off

Educational support

Job summary

Bon Secours Mercy Health is seeking a Referral & Insurance Specialist for the Marshall Nemer Pavilion. The role handles insurance authorizations for referrals, schedules testing appointments, verifies coverage, and assists with billing questions and payments.

The ideal candidate has 2–3 years of experience in a related medical field, a High School Diploma or GED, and a customer-focused approach to patient interactions.

Qualifications

• 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.
• Collects patient responsibility balances and copayments as needed. Balance money collected daily.

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; gives patients instructions.

Skills

Insurance authorizations

Appointment scheduling

Billing & payments

Customer service

Education

High School Diploma or GED

Job description

Bon Secours Mercy Health is seeking a Referral & Insurance Specialist for the Marshall Nemer Pavilion. The role handles insurance authorizations for referrals, schedules testing appointments, verifies coverage, and assists with billing questions and payments.

The ideal candidate has 2–3 years of experience in a related medical field, a High School Diploma or GED, and a customer-focused approach to patient interactions.