Health Specialist Jobs

About The Position

Requirements

• At least 1 year of customer service experience.
• High school diploma or GED.
• CRCR certification required within 9 months of hire; company paid.
• Must be inquisitive and demonstrate openness to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.
• Must be able to work onsite at Bon Secours - St Francis Med Ctr - Richmond in Midlothian, VA.

Responsibilities

• Assign accurate medical record numbers (MRNs), complete medical-necessity and compliance checks, provide patient instructions, collect insurance information, receive and process physician orders, and use an overlay tool while delivering excellent customer service.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, following policies and providing compassionate customer service.
• Meet assigned point-of-service goals.
• Use quality auditing and reporting systems to identify and correct account issues, including accounts associated with other employees, departments, and facilities.
• Audit accounts, ensure forms are completed accurately and on time to meet audit standards, and provide statistical data to Patient Access leadership.
• Pre-register patient accounts before visits, including making inbound and outbound calls to obtain demographic, insurance, and other patient information.
• Explain patient financial liabilities and collect point-of-service payments and past-due balances, including discussing payment plan options.
• Explain general consent-for-treatment forms to the patient, guarantor, or legal guardian; obtain required signatures and the witness’s name.
• Explain and distribute patient education documents and forms, including Important Message from Medicare, Important Message from Tricare, observation forms, MOON forms, consent forms, and forms implemented for future services.
• Review insurance eligibility responses, select the applicable insurance plan code, and enter benefit data into the system to support point-of-service collections and billing processes.
• Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible non-payment for tests, and distribute ABNs as appropriate.
• Distribute and document other designated forms and pamphlets.

Benefits

• Bonus incentives.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Professional development and career advancement opportunities.
• Quarterly and annual incentive programs.