Referral & Insurance Specialist-Physician Office-Piedmont Ortho

Thank you for considering a career at Bon Secours!

Scheduled Weekly Hours:

40

Work Shift:

Days (United States of America)

Intro paragraph

As a faith-based and patient-focused organization Bon Secours exists to enhance the health and well-being of all people in mind body and spirit through exceptional patient care. Success in this goal requires a culture of compassion collaboration excellence and respect. Bon Secours seeks people that are committed to our values of compassion human dignity integrity service and stewardship to create an environment where associates want to work and help communities thrive.

Referral & Insurance Specialist Piedmont Orthopaedic

Job Summary:

The Referral and Insurance Specialist obtains authorizations from insurance companies for referrals to physicians and/or procedures/testing. Verifies eligibility/coverage for referral via phone/fax/Internet. Schedule appointments for testing at medical facilities or appointments with physicians. Gathers charge information and enter all pertinent charge and patient demographic information into computer billing system. Post all payments and make daily deposits. Assist patients regarding billing questions and account balance resolution. Promotes a positive and helpful climate for good interpersonal and interdepartmental relationships.

Essential Functions:

• 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.
• Performs data input of patient and/or insurance changes and corrections to ensure current and accurate information in billing system.

This document is not an exhaustive list of all responsibilities skills duties requirements or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor subject to reasonable accommodation.

Education:

• High School Diploma or GED (required)

Required Licensing & Certifications:

None

Experience:

• 2-3 years of experience in a related medical field with experience in processing referrals (preferred)

Skills & Abilities:

Attention to detail
Organized
Ability to multi-task
Excellent customer service
Active Listening
Verbal Communication
Written Communication

Process Requests
Telephone etiquette
Computer proficiency

Training:

None

Bon Secours is an equal opportunity employer.

As a Bon Secours associate youre part of a Mission that matters. We support your well-being personally and professionally. Our benefits are built to grow with you and meet your unique needs every step of the way.

What we offer

• Competitive pay incentives referral bonuses and 403(b) with employer contributions (when eligible)
• Medical dental vision prescription coverage HSA/FSA options life insurances mental health resources and discounts
• Paid time off parental and FMLA leave shot- and long-term disability backup care for children and elders
• Tuition assistance professional development and continuing education support

Benefits may vary based on the market and employment status.

Department:

Bon Secours Piedmont Orthopaedics - Greenville Specialty Care LLC

It is our policy to abide by all Federal and State laws as well as the requirements of 41 CFR 60-1.4(a) 60-300.5(a) and 60-741.5(a). Accordingly all applicants will receive consideration for employment without regard to race color national origin religion sex sexual orientation gender identity age genetic information or protected veteran status and will not be discriminated against on the basis of disability. If youd like to view a copy of the affirmative action plan or policy statement for Mercy Health Youngstown Ohio or Bon Secours Franklin Virginia; Petersburg Virginia; and Emporia Virginia which are Affirmative Action and Equal Opportunity Employer please email . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process please contact The Talent Acquisition Team at .

Required Experience:

IC