Ambulance Billing Specialist – Jefferson Avenue Medical Office Building

Mercy Health BSMH•Toledo, OH

3d•Hybrid

About The Position

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.

Requirements

High School Diploma or GED (required)
2-3 years of experience in a related medical field with experience in processing referrals (preferred)

Nice To Haves

Ambulance, Medical, or Healthcare experience

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. Give patients instructions.
Performs data input of patient and/or insurance changes and corrections to ensure current and accurate information in billing system.
Answers the telephone, take messages, schedule appointments and greet patients as needed.
Prepares patient charge encounter forms for each day and makes new or updates patient chart as needed.
Oversees waiting area, coordinate patient movement, and reports problems or irregularities.
Screens visitors and respond to routine request 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. Balance 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.