Referral & Insurance Specialist - Depaul Medical Associates

Bon Secours Health System • Norfolk, VA

5d • $18 - $27

About The Position

The Referral and Insurance Specialist obtains insurance authorizations for referrals to physicians, medical facilities, procedures, testing, and medications. The role verifies eligibility and coverage, schedules appointments, enters patient, insurance, and charge information into billing systems, posts payments, and balances collected funds. The specialist also assists patients with billing questions and account resolution while promoting positive relationships with patients and colleagues.

Requirements

• High school diploma or GED.
• 2–3 years of experience in a related medical field with experience processing referrals is preferred.

Nice To Haves

• 2–3 years of experience in a related medical field with experience processing referrals.

Responsibilities

• Obtain insurance-company authorizations for referrals to physicians and medical facilities and for procedures, testing, and medications.
• Verify eligibility and coverage for referrals and testing by phone, fax, or Internet.
• Schedule appointments with physicians and appointments for testing at medical facilities.
• Investigate billing problems and denials, and notify patients of referral decisions in a timely manner with instructions.
• Enter patient and insurance changes or corrections to maintain accurate billing-system information.
• Answer telephones, take messages, schedule appointments, and greet patients as needed.
• Prepare daily patient charge encounter forms and create or update patient charts as needed.
• Oversee the waiting area, coordinate patient movement, report problems or irregularities, screen visitors, and respond to routine information requests.
• Organize and file progress notes, testing reports, and other chart-completion forms; assist with filing patient charts.
• Collect patient balances and copayments as needed and balance money collected daily.
• Open and distribute daily mail as needed.
• Collect daily physician charge slips and reconcile their number and totals.
• Post payments to the appropriate patient accounts and enter charge information into the online billing system.
• Assist with coding and error resolution and request needed information from physician offices.
• Help patients resolve billing questions and account issues.
• Review information to determine an appropriate course of action for patients and refer them to the local DSS office when appropriate.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED