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.

　　Insurance Verification OP Rehab PT/OT/ST- Patient Service Rep

　　Full Time in office Virginia Beach

　　The Insurance Verification PSR supports outpatient rehab office staff by researching and verifying patient health insurance eligibility, interpreting insurance benefits for a specific service, and documenting this information into EMR system. Insurance verification specialist identifies when insurance authorization. Must provide the highest level of customer service and professionalism to patients and co-workers. Proficient in current software and maintains daily, weekly, and monthly reports for support staff as directed by supervisors. Works closely with all members of the therapy team to achieve financial and program objectives.

　　Essential Job Functions

　　Concisely and accurately document patient benefit information within EMR system to generate patient estimates.

　　Obtain and interpret specific program benefits under patient health insurance plan by using online portals or phone calls to payer.

　　Research and verify patient health insurance coverage and eligibility. Register patient coverage accurately within EMR to ensure timely billing and reimbursement from payer.

　　Responsible for registering patients in a timely manner, as needed.

　　Prepares and submits insurance forms, obtains authorizations and any additional documentation in accordance with requirements of insurance companies and contracted clients.

　　Initiate prior authorization requests with insurance payer, submit clinical documentation that supports medical necessity for request and follow up on authorization status prior to patient’s first scheduled visit.

　　Maintains confidentiality in working with all patient accounts, insurance, and financial information at all times. Complies with HIPPA guidelines to protect patient data privacy.

　　Full time in office

　　This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

　　Required Minimum Education:

　　High School Diploma or GED

　　Minimum Qualifications

　　Minimum Years and Type of Experience:

　　Two years in a secretarial position preferred.

　　Other Knowledge, Skills and Abilities Required:

　　Ideal candidates will have experience with billing, insurance verification, collections, ICDM-CPT coding, posting charges, data entry, knowledge of medical terminology preferred but not required.

　　Other Knowledge, Skills and Abilities Preferred:

　　Must possess organizational, verbal communication and strong interpersonal skills. Demonstrates a high level of integrity, trust and displays exceptional customer service.

　　Many of our opportunities reward* your hard work with:

　　Comprehensive, affordable medical, dental and vision plans

　　Prescription drug coverage

　　Flexible spending accounts

　　Life insurance w/AD&D

　　Employer contributions to retirement savings plan when eligible

　　Paid time off

　　Educational Assistance

　　And much more

　　*Benefits offerings vary according to employment status

　　All 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 [email protected] . 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 [email protected]