With a legacy that spans over 150 years, Bon Secours is a network that is dedicated to providing excellent care through exceptional people. At every level, everyone on our teams have embraced the call to provide compassionate care. Here, you can work with others who share common values, and use your skills to help extend care to all of our communities.

Job Summary

Coordinate with Radiation Oncology in the Richmond market to verify patient insurance coverage and obtain insurance authorizations. Demonstrates attitudes and/or behaviors in interacting with others that are courteous, polite, concerned, friendly and respectful, resulting in favorable patient, physician and staff perceptions of the Bon Secours Cancer Institute and its employees.

Job Functions

Obtain and monitor processes for insurance authorizations timely and accurately complying with department requirementsConfirm that a patient’s health insurance is active and covers the patient’s procedure; may be completed multiple times before, during, and after a patient’s visitProvides Patient financial counseling to assist in calculating and initiating setting up collection payment plans. Adheres to department policies and procedures for the auditing of complete, accurate, timely and consistent diagnosis (ICD-10) and procedure (CPT) codes for professional, technical and global billing.Initiates physician query when appropriate.Responsible for accurately maintaining patient authorizationsCommunicate in an effectively, prompt and courteous manner to establish effective relationships with a variety of persons ranging from patients, families, clinical staff, physicians and professionals by telephone, in written form, e-mail or in person.Verify that insurance pre-authorizations are obtained and maintained on designated patients into all EMRs.  This requires access to all necessary EMRs.Works to reduce pre-authorization denialsReview and analyze patient visit information to determine whether authorization is needed and understand payer specific criteria to appropriately secure authorization and clear the account prior to service when possible.Ensures that services provided to eligible members are within benefit plan and appropriate contracted providers are being utilized. Educates staff and physicians of coding and reimbursement policy changes as appropriate. Communicates with billing provider to achieve timely, accurate billing and collectionsPreparation of various reports as required.Any other function needed for the efficiency and effectiveness of patient care within the department within legal limitations

Qualifications/Education

Minimum 5 years billing experience – preferably radiation oncology. Knowledge of appropriate radiation oncology coding guidelines and criteria for code selections.Certified Professional Coder (CPC) preferred or exam eligible with passing score within one year.Extensive knowledge of the patient billing revenue cycle, bookkeeping and reimbursement methodologies.HS Diploma and or GEDMany 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 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