Patient Services Specialist Prior Authorizations Mercy Health

Company: Bon Secours Mercy Health
Location: Cincinnati
Posted on: May 27, 2023

Job Description:

**Thank you for considering a career at Mercy Health**
Patient Service Specialist
Responsible 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 GED
Experience: two years of experience in a similar health care role.
Mercy Health 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
**S** **cheduled Weekly Hours:**
40
**Work Shift:**
Days (United States of America)
**Department:**
Orthopedic Admin - Mercy Health Physicians Cincinnati, LLC
_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 youd 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_
Mercy Health is part of Bon Secours Mercy Health (http://bsmhealth.org/) , one of the top 20 health systems in the United States and part of the top performing quartile of Catholic health systems for lowest cost per case for patient care. Mercy Health is the largest health system in Ohio and among the top five employers in the state, with more than 33,500 employees serving communities throughout Ohio and in Kentucky. Mercy Health provided care for patients more than 6.8 million times in 2017.
The system includes assets of $6.8 billion and nearly 500 care facilities including 23 hospitals and 26 post-acute care facilities including senior living communities, hospice programs and home health agencies. Its clinically integrated network of more than 2,700 health care providers coordinates more effective and efficient care for more than 350,000 patients, saving money for taxpayers through the Medicare Shared Savings Program. As part of Bon Secours Mercy Health, the ministry provides nearly $2 million per day in community benefit. For more information, visit www.mercy.com .

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