Ambulance Billing Specialist – Jefferson Avenue Medical Office Building

Mercy Health BSMH•Toledo, OH

5d•Onsite

About The Position

Mercy Health is a faith-based and patient-focused organization dedicated to enhancing the health and well-being of all people in mind, body, and spirit through exceptional patient care. We seek individuals committed to our values of compassion, human dignity, integrity, service, and stewardship to foster an environment where associates want to work and help communities thrive. The Referral and Insurance Specialist obtains authorizations from insurance companies for referrals to physicians and/or procedures/testing. This role verifies eligibility/coverage for referrals via phone, fax, or the Internet, and schedules appointments for testing at medical facilities or with physicians. The specialist gathers charge information, enters all pertinent charge and patient demographic information into the computer billing system, posts all payments, and makes daily deposits. Additionally, the role assists patients with billing questions and account balance resolution, promoting a positive and helpful climate for good interpersonal and interdepartmental relationships.

Requirements

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 and provides instructions.
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 for each day and makes new or updates patient charts as needed.
Oversees waiting area, coordinates patient movement, and reports problems or irregularities.
Screens visitors and responds to routine requests for information.
Organizes and files progress notes, testing reports, and other forms necessary for chart completion. Assists with appropriate filing of patient charts as needed.
Collects patient responsibility balances and copayments as needed. Balances money collected daily.
Opens and distributes daily mail as needed.
Obtains authorizations from insurance carriers or pharmacy benefit managers for medications.
Collects all daily charge slips from the physician and reconciles the number of charge slips and their totals.
Applies all payments to the appropriate patient account by posting each into the computer billing systems.
Inputs all charge information into the online billing system.
Assists with coding and error resolution as well as requesting needed information by working with the physician offices.
Works with patients in resolving billing questions and patient account resolution.
As applicable, reviews information to make determination on the appropriate course of action for the patient, makes referrals to the local DSS office as appropriate.