Patient Service Representative (PSR) - In Motion Physical Therapy - Town Center

About Us As a faith‑based and patient‑focused organization, Bon Secours exists to enhance the health and well‑being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Patient Services Representative – In Motion Physical Therapy – Town Center Job Summary Patient Services Representative for an outpatient rehabilitation office staff by researching and verifying patient health insurance eligibility, interpreting insurance benefits for specific services, and documenting this information into an EMR system. The insurance verification specialist identifies when insurance authorization is required, initiates prior authorization requests, and submits supporting clinical documentation to obtain approval for services provided by outpatient rehab clinics. Essential Functions Research and verify patient health insurance coverage and eligibility. Register patient coverage accurately within EMR to ensure timely billing and reimbursement from the payer. Obtain and interpret specific program benefits under a patient’s health insurance plan by using online portals or phone calls to payers. Concisely and accurately document patient benefit information within the EMR system to generate patient estimates. Effectively communicate benefit information to patients and answer detailed questions regarding out‑of‑pocket costs as indicated by their insurance plans. Initiate prior authorization requests with insurance payers, submit clinical documentation that supports medical necessity, and follow up on authorization status prior to the 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 before the first patient visit. Demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on the assigned unit. Demonstrate knowledge of the principles of growth and development across the life span and the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirements relative to their age and specific needs, and to provide the care needed as described in departmental policies and procedures. 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. Education High School Diploma or GED (required) Licensure/Certification None Experience 1 year of experience in insurance verification. Comprehensive understanding of insurance eligibility and coverage requirements, contract benefits and medical terminology. What We Offer Competitive pay, incentives, referral bonuses and a 403(b) with employer contributions (when eligible) Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts Paid time off, parental and FMLA leave, short‑ and long‑term disability, backup care for children and elders Tuition assistance, professional development and continuing education support Benefits may vary based on market and 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 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. #J-18808-Ljbffr Bon Secours