Patient Service Representative (PSR) - InMotion Harbour View

Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 40 Work Shift: Days/Afternoons (United States of America) Summary of Primary Function/General Purpose of Position The Insurance Verification Specialist 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 is required, initiates prior authorization request, and submits supporting clinical documentation to obtain approval for services provided by outpatient rehab clinics. Essential Functions - List the essential functions of the job. Essential functions are the reasons a job exists. Working in office full time position. Research and verify patient health insurance coverage and eligibility. Register patient coverage accurately within EMR to ensure timely billing and reimbursement from payer Obtain and interpret specific program benefits under patient health insurance plan by using online portals or phone calls to payer Concisely and accurately document patient benefit information within EMR system to generate patient estimates Effectively communicate benefit information to patients, as needed. Answer detailed patient questions regarding out-of-pocket costs, as indicated under their specific insurance plan 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 Maintain clear, timely communication with front office staff regarding insurance benefit barriers that may prevent patient conversion, or delay prior authorization approval prior to first patient visit 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. Employment Qualifications Education Qualifications - List the minimum education, training, and experience required to perform the essential functions of the position. Required Minimum Education: High School Diploma or GED Minimum Years and Type of Experience: 1 year of experience in insurance verification Other Knowledge, Skills and Abilities Required: Comprehensive understanding of insurance eligibility and coverage requirements, contract benefits and medical terminology. Customer focused with strong interpersonal skills, courtesy and tact with patient and rehabilitation staff. Work requires the ability to ensure the confidentiality and rights of patients and the confidentiality of hospital and departmental documents. Must be able to demonstrate a working knowledge of personal computers and proficient in computer applications and other electronic technologies. Must demonstrate a positive and professional demeanor along with strong verbal and written communication skills, including proper phone etiquette. Understand and follow HIPAA regulations. Able to organize workload and manage time efficiently. Must be able to handle potentially stressful situations and multiple tasks simultaneously. Must be able to successfully complete additional job related training when offered. Bon Secours is an equal opportunity employer. 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. Department: Physical Therapy - Harbour View - Maryview It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, 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 Employer, please email recruitment@mercy.com. 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 recruitment@mercy.com. Bon Secours is part of Bon Secours Mercy Health and is a not-for-profit Catholic health system sponsored by Bon Secours Ministries and founded by the Sisters of Bon Secours. With operations in Maryland, Virginia, South Carolina, Kentucky, Florida and New York, Bon Secours owns, manages, or joint ventures 20 hospitals and 27 post-acute care facilities or agencies including skilled nursing facilities, home care and hospice services, and assisted living facilities. Consistent with its commitment to alleviate human suffering, Bon Secours has developed more than 800 affordable housing units for low income families. Bon Secours has more than 24,000 employees and has been recognized as a Gallup Great Workplace for six consecutive years. The Mission of Bon Secours is to bring compassion to health care and to be Good Help to Those in Need, especially those who are poor and dying. For more information, visit www.BonSecours.com.