Medical Referrals & Insurance Billing Specialist

Mercy Health; Virginia Beach (VA); Sur place; USD 25 000 - 37 000; Plein temps

Avantages offerts par ce poste

Competitive pay

Healthcare benefits

Paid time off

Tuition assistance

Résumé du poste

Bon Secours is hiring a Referral & Insurance Specialist for the In Motion Physical Therapy – Town Center location. The role involves obtaining insurance authorizations for referrals, verifying coverage, scheduling tests and physician appointments, and entering charge details into the billing system.

You will post payments, answer billing questions, balance daily finances, and maintain positive interdepartmental relations. Requires 2–3 years in a related medical field and a high school diploma.

Qualifications

• High School Diploma or GED (required).
• 2-3 years of experience in a related medical field with experience in processing referrals preferred.

Responsabilités

• 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.
• 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.
• Open 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 systems
• 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 make determination on the appropriate course of action for the patient, makes referrals to the local DSS office as appropriate.

Formation

High School Diploma or GED

Description du poste

Bon Secours is hiring a Referral & Insurance Specialist for the In Motion Physical Therapy – Town Center location. The role involves obtaining insurance authorizations for referrals, verifying coverage, scheduling tests and physician appointments, and entering charge details into the billing system.

You will post payments, answer billing questions, balance daily finances, and maintain positive interdepartmental relations. Requires 2–3 years in a related medical field and a high school diploma.