Referral & Insurance Specialist - Physician Practice - Neurology

Bon Secours Mercy Health • Midlothian, VA

4d • $18 - $27

About The Position

The Referral and Insurance Specialist obtains insurance authorizations for referrals to physicians and medical facilities, procedures, testing, and medications. The role verifies eligibility and coverage, schedules appointments, and communicates referral decisions and instructions to patients. It also supports clinic operations through patient reception, chart preparation and organization, charge entry, payment posting, daily balancing and deposits, and assistance with billing questions and account resolution. The specialist promotes positive working relationships with patients and colleagues and may refer patients to the local DSS office when appropriate.

The position is in the Neurology physician practice and is scheduled for 40 hours per week on the day shift. A high school diploma or GED is required. Related medical-field experience, including referral processing, is preferred; no licensure or certification is required.

Requirements

• High school diploma or GED.
• Licensure or certification is not required.

Nice To Haves

• Two to three years of experience in a related medical field, including experience processing referrals.

Responsibilities

• Obtain insurance authorizations for referrals to physicians or medical facilities, procedures, testing, and medications.
• Verify eligibility and coverage for referrals and testing by phone, fax, or internet.
• Schedule testing at medical facilities and appointments with physicians.
• Investigate billing problems and denials; notify patients promptly about whether referrals are authorized or denied and provide instructions.
• Enter patient and insurance changes or corrections into the billing system to maintain accurate information.
• Answer calls, take messages, schedule appointments, greet patients, and screen visitors or respond to routine information requests.
• Prepare daily patient charge encounter forms and create or update patient charts as needed.
• Oversee the waiting area, coordinate patient movement, and report problems or irregularities.
• 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 collected money daily.
• Open and distribute daily mail as needed.
• Collect and reconcile daily physician charge slips and their 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 balances.
• Review patient information to determine an appropriate course of action and refer patients 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