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Bon Secours Mercy Health Front Office Specialist Prior Authorization in Springfield, Ohio

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.

Summary of Primary Function/General Purpose of Position

The Front Office Administrator ensures timely scheduling of patients, verification of patient's insurance eligibility and benefits prior to their appointment, updating these benefits within our practice management software, and communicating with fellow staff members regarding patient eligibility and benefits. This role follows policies and procedures, acts as a patient safety advocate by participating in ongoing quality improvement in the Outpatient Wound Care department.

Essential Job Functions

• Adheres to and promotes departmental plans, goals, and objectives in accordance with hospital policies and procedures, regulatory and Joint Commission for Accreditation of Hospital Operations.

• Assists in collaboration with the Physicians and Clinical Staff to provide appropriate wound service coverage in the center.

• Assists clinical leadership to monitoring clinic flow to improve efficiencies and productivity.

• Works with hospital personnel to ensure availability of adequate resources, supplies, equipment, and services.

• Encourages collaboration of the wound center with other departments.

• Develops and maintains effective working relationship working with physicians and all wound center staff.

• Good working relationship with Ensemble in a dyad team. Works collaboratively with hospital partners, as appropriate to maintain fiscal objective seek opportunities for cost saving measures • Working knowledge and awareness of revenue cycle components including scheduling, registration, clinical coverage/treatment, documentation, billing, collections, and denials. • Assists leadership to perform auditing to ensure documentation supports reimbursement.

This 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.

Licensing/Certification

BLS Basic Life Support (preferred)

Education

HS/GED (required)

Associate Degree related to Business (preferred)

Work Experience

Recent experience in acute care, home health, and/or provider office (required)

Experience working in Wound Care and Hyperbaric Oxygen Therapy Outpatient Center (preferred)

Training

EPIC Electronic Health Record (EHR) (preferred)

Continued professional development specific to patient registration, scheduling and referrals.

Language

None

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 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

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