Ambulance Billing Specialist - Jefferson Avenue Medical Office Building

About the role

Mercy Health is a faith-based and patient-focused organization dedicated to enhancing the health and well-being of all people through exceptional patient care. The position of Referral & Insurance Specialist at the Jefferson Avenue Medical Office Building is responsible for obtaining authorizations from insurance companies for referrals to physicians and/or procedures/testing, verifying eligibility/coverage, scheduling appointments, entering charge information, and assisting patients with billing questions.

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, takes messages, schedules appointments and greets patients as needed.
• Prepares patient charge encounter forms for each day and makes new or updates patient chart 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.
• Aids in appropriate filing of patient charts as needed.
• Collects patient responsibility balances and copayments as needed. Balance money collected daily.
• Obtains authorizations from insurance carriers or pharmacy benefit managers for medications.
• Collections 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.
• Assists with coding and error resolution as well as requesting needed information by working with the physician offices.
• Assists with 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.

Requirements

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

Qualifications

• None

Skills

• Excellent communication skills
• Strong organizational and time management skills
• Ability to work independently and as part of a team
• Knowledge of medical terminology and insurance processes

Benefits

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