Insurance Specialist-Patient Financial Services

Pay Competitive

Employment type:

Full-Time

Req#: 9655 This position supports Mercy's philosophy of patient-centered care by properly submitting charges to insurance companies for reimbursement. The role also involves appropriately billing the patient and providing timely follow-up on billing issues and denials.

• Bills hospital UB-04 claims and professional 1500 claims.
• 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.
• Prepares refunds for mailing.

• Required ability to operate a computer, copy/fax machines, and telephone system.
• Strong written and verbal communication and math skills.
• Strong organizational and time management skills.
• Strong interpersonal skills.
• 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.

• Required:
  
  1 year previous experience in a medical office, medical business office, or insurance industry.

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

656 Mercy Medical Center is a Catholic hospital in Cedar Rapids, Iowa.