Medical Referrals & Insurance Coordinator

Mercy Health; Greenville (SC); Vor Ort; USD 25.000 - 39.000; Vollzeit

Zusammenfassung

Mercy Health's Palmetto Greenville Urology unit is seeking a Referral & Insurance Specialist to manage referrals, authorizations, and billing tasks. This role supports physicians and patients by verifying coverage, scheduling tests, and posting payments in the billing system.

You will interact with insurance companies and patients to resolve issues and ensure accurate charge capture. Exact responsibilities include obtaining authorizations, verifying eligibility, scheduling appointments,

Qualifikationen

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

Aufgaben

• 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.
• Prepares patient charge encounter forms and updates patient charts as needed.

Ausbildung

High School Diploma or GED

Jobbeschreibung

Mercy Health's Palmetto Greenville Urology unit is seeking a Referral & Insurance Specialist to manage referrals, authorizations, and billing tasks. This role supports physicians and patients by verifying coverage, scheduling tests, and posting payments in the billing system.

You will interact with insurance companies and patients to resolve issues and ensure accurate charge capture. Exact responsibilities include obtaining authorizations, verifying eligibility, scheduling appointments,