Senior Insurance Specialist

Work Shift

Day

Scheduled Weekly Hours

40

Summary

This position supports Mercy's philosophy of patient centered care by submitting charges to insurance companies properly to get reimbursement back to facility and appropriately bill patient as needed. Will also be responsible for timely follow up on complex billing issues and denials. Must be a skilled staff member who has a proven history of effectively billing and collecting from payers.

Job Description

Job Description

Job Duties

Verifies insurance coverage of hospital patients.

Assists patients and family members in resolving billing concerns as indicated.

Processes third party insurance claims as assigned and follows up according to departmental guidelines to ensure timely payment of account balances.

Uses several systems to bill claims, scrub claims and work rejections.

Updates demographic and insurance information to the billing system as appropriate.

Maintains work queues according to procedure, clearly defining next actions and follow-up dates on all accounts.

Documents all conversations and actions taken into the proper systems.

Reviews insurance claims for completeness and accuracy prior to mailing.

Assists in training of Insurance Specialists.

Follows Mercy's safety guidelines, carries out job-specific safety duties and responsibilities, and promptly reports any unsafe conditions, situations, incidents and injuries.

Knowledge, Skills and Abilities

Required ability to operate a computer, copy/fax machines and telephone system.

Required strong written and verbal communication and math skills.

Required strong organizational and time management skills.

Required strong interpersonal skills.

Required ability to work with minimal to no supervision.

Preferred working knowledge of medical insurance plans and medical terminology.

Preferred proficiency with MS Office.

Preferred knowledge of EPIC software.

Professional Experience

Required: 2 years previous experience in a medical office, medical business office, or insurance industry.

Preferred: Proven track record of leadership ability.

Education

High School Diploma or equivalent strongly preferred. Relevant experience to be considered in lieu of degree.

Licensure, Certification, Registration

AAHAM (American Association of Healthcare Administrative Management), or CRCR (Certified Revenue Cycle Representative) Certification required.

Pay Rate Type

Hourly

Mercy is an independent, community-based organization supporting the Cedar Rapids area for over 120 years.

Mercy is an equal-opportunity employer. We value diversity, equity, and inclusion and therefore evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status, and other legally protected characteristics.