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At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.

_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** **_– Upstate Cardiology_

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

Many of our opportunities reward* your hard work with:

Comprehensive, affordable medical, dental and vision plans

Prescription drug coverage

Flexible spending accounts

Life insurance w/AD&D

Employer contributions to retirement savings plan when eligible

Paid time off

Educational Assistance

And much more

*Benefits offerings vary according to employment status

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 you'd 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 Employers, please email [email protected] . 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 [email protected]