Patient Access & Insurance Specialist

Bon Secours Mercy Health; Greenville (SC); On-site; USD 36,000 - 60,000; Full time

Benefits offered by this job

Competitive pay

Medical & dental coverage

Paid time off

Tuition assistance

Job summary

Bon Secours Mercy Health is seeking a Referral & Insurance Specialist for Piedmont Orthopaedic to manage insurance authorizations, verify eligibility, and schedule tests and physician visits. The role includes data entry, payment posting, and assisting patients with billing questions to support smooth care delivery.

Ideal candidates have 2–3 years in medical referrals, strong attention to detail, and comfort using billing systems. This full-time position offers comprehensive benefits.

Qualifications

• High school diploma or GED required.
• 2–3 years of medical referrals or related experience preferred.
• Experience with referrals and insurance processing preferred.

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.
• Performs data input of patient and/or insurance changes and corrections to ensure current and accurate information in billing system.
• Answers the telephone, takes messages, schedules appointments and greets patients as needed.
• Prepares patient charge encounter forms and updates patient charts as needed.
• Collects patient responsibility balances and copayments; balance daily.
• Applies all payments to the appropriate patient account by posting into the billing systems.
• Inputs charge information into the online billing system.

Skills

Insurance authorizations

Billing & payments

Patient communication

Scheduling appointments

Data entry

Education

High School Diploma or GED

Tools

Billing software

Job description

Bon Secours Mercy Health is seeking a Referral & Insurance Specialist for Piedmont Orthopaedic to manage insurance authorizations, verify eligibility, and schedule tests and physician visits. The role includes data entry, payment posting, and assisting patients with billing questions to support smooth care delivery.

Ideal candidates have 2–3 years in medical referrals, strong attention to detail, and comfort using billing systems. This full-time position offers comprehensive benefits.