At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness.
Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.Job Title:Patient Services SpecialistResponsible for all aspects of collection and validation of accurate patient demographic and insurance information, obtaining pre-certification/authorization.
Other responsibilities include serving as the primary liaison with the patient, physician and hospital related to financial aspect of services.Initiates the insurance verification and pre-authorization process by contacting insurance carriers and providing proof of needed documentation.Works closely with involved providers to pre-certify procedures and other necessary evaluations or processes; assists with denial and appeal process.Proactively communicates issues or potential issues involving customer service and process improvement opportunities to management and providers.Demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information.
Maintains stable performance under pressure and handles stress in ways to maintain relationships with patients, customers and co-workers.Required minimum education: High school diploma or GEDExperience: two years of experience in a similar health care role and/or call center experience.Many of our opportunities reward* your hard work with:Comprehensive, affordable medical, dental and vision plansPrescription drug coverageFlexible spending accountsLife insurance w/AD&DEmployer contributions to retirement savings plan when eligiblePaid time offEducational AssistanceAnd much more*Benefits offerings vary according to employment statusAll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability.
If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email ****** .
If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at ******