Offer summary

Qualifications:

High school diploma or equivalent required., 1+ years of related experience in healthcare or insurance roles., Strong understanding of insurance authorizations and referral processes., Excellent communication skills for interacting with patients and healthcare providers..

Key responsabilities:

Assist patients with referrals, insurance authorizations, and scheduling appointments.

Confirm insurance coverage and determine pre-authorization needs via payer portals.

Document detailed information regarding authorization status and coverage issues in patient records.

Communicate with patients and providers about insurance coverage and any barriers to care.

Job description

Details

Department: Referrals
Schedule: Full-Time, Days Mon. - Fri. 8AM-5PM
Hospital: Ascension St. Vincent's
Location: Remote

Benefits

Paid time off (PTO)

Various health insurance options & wellness plans

Retirement benefits including employer match plans

Long-term & short-term disability

Employee assistance programs (EAP)

Parental leave & adoption assistance

Tuition reimbursement

Ways to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer.

Responsibilities

Help patients navigate through their health care needs by assisting with referrals, insurance authorizations, scheduling appointments, and answering questions.

Confirm insurance coverage via payer portals and determines necessity for pre-authorization.
Obtain authorization and processes referrals for services ordered by providers.
Schedule appointments as appropriate and within required timeframes and assuring referrals are maintained within appropriate network and/or payer requirement.
Remain current on referral policies and procedures, payer requirements, managed care matrix, portals and determines financial responsibility for services to be provided.
Communicate with patients, healthcare providers, and third-party service providers regarding insurance coverage and barriers to care.
Document detailed information in the patient medical record and any actions taken regarding authorization status, coverage issues, restrictions and appointment details.
Notify patients and providers of services requested that are not authorized by insurance.

Requirements

Education:

High school diploma or equivalent required.

Work Experience

1+ years related experience required.

Why Join Our Team

Ascension St. Vincent's is expanding in the fastest-growing county in Northeast Florida with the addition of a fourth regional hospital, Ascension St. Vincent’s St. Johns County. Serving Northeast Florida and Southeast Georgia, Ascension St. Vincent's has been providing caregivers in every discipline a rewarding career in healthcare since 1873.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Pay Non-Discrimination Notice

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

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