Referral and Insurance Specialist - Orthopedic Specialists of Midlothian

Job Summary

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. Schedules 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.

Essential Functions

• 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.

• Education

  High School Diploma or GED (required)

  Experience

  2-3 years of experience in a related medical field with experience in processing referrals (preferred)

  Pay

  Range Minimum: $18.11
  Range Maximum: $27.17

  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