Insurance Representative - Full Time

Mercy • Oklahoma City, OK

8d

About The Position

The Insurance Services Representative III processes and resubmits claims in assigned work queues and works toward weekly productivity goals. The role works with clinic managers and providers to support efficient operations and uses monthly reports to identify denial trends by clinic.

The representative collects and resolves outstanding insurance receivables, including unpaid, denied, and underpaid claims. The role also communicates effectively, develops and oversees training and knowledge transfer, maintains quality and productive work habits, and applies comprehensive departmental and revenue-cycle knowledge. The position serves as an operational lead for the department and performs duties consistent with Mercy’s mission, values, and Service Standards.

Requirements

• High school degree or equivalent.
• Two years of revenue-cycle experience, or experience meeting position-specific duties and responsibilities.
• EPIC Resolute Hospital Billing or Ambulatory experience.
• Intermediate communication and customer-service skills.
• Intermediate Microsoft Excel and Word knowledge.
• Intermediate computer and keyboarding skills.
• Ability to communicate effectively, both in writing and verbally.
• Ability to influence others.
• Comfort with data analysis and conveying results positively.
• Excellent people skills.
• Ability to use appropriate rounding tools when talking with coworkers and patients.

Nice To Haves

• Prior revenue-cycle experience.
• Healthcare billing or insurance experience.
• Advanced Microsoft Excel and Word knowledge.
• Expanded Epic knowledge.
• Ability to collect and analyze data.
• Excellent communication, customer-service, and problem-solving skills.

Responsibilities

• Process and resubmit claims in assigned work queues.
• Meet weekly productivity goals.
• Work with clinic managers and providers to support efficient operations.
• Use monthly reports to identify denial trends for each clinic.
• Collect and resolve outstanding insurance receivables, including unpaid, denied, and underpaid claims.
• Communicate effectively and develop or oversee training and knowledge transfer.
• Maintain quality and productive work habits and apply revenue-cycle knowledge.
• Serve as an operational lead for the department.
• Perform duties consistent with Mercy’s mission, values, and Service Standards.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Tuition support
• Matched retirement plans for team members working 32 or more hours per pay period

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED