Referral & Insurance Coordinator

Bon Secours Mercy Health; Kentucky; On-site; USD 38,000 - 60,000; Full time

Job summary

Bon Secours Mercy Health is seeking a Referral & Insurance Specialist for the Cincinnati Sports Medicine & Orthopaedic Center in Bridgetown. The role handles authorizations, eligibility checks, and scheduling for referrals and testing, while guiding patients through billing inquiries and balance resolution.

Responsibilities include posting payments, reconciling charge slips, and assisting with coding and contacting providers.

Qualifications

• High School Diploma or GED required.
• 2-3 years of experience in a related medical field with experience in processing referrals (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.
• Post all payments and make daily deposits.
• Assist patients regarding billing questions and account balance resolution.

Education

High School Diploma or GED

Job description

Bon Secours Mercy Health is seeking a Referral & Insurance Specialist for the Cincinnati Sports Medicine & Orthopaedic Center in Bridgetown. The role handles authorizations, eligibility checks, and scheduling for referrals and testing, while guiding patients through billing inquiries and balance resolution.

Responsibilities include posting payments, reconciling charge slips, and assisting with coding and contacting providers.