Insurance Specialist

Mercy Cedar Rapids • Baltimore, MD

3d • Onsite

About The Position

This position supports Mercy's philosophy of patient centered care by properly submitting charges to insurance companies for reimbursement. Will also be responsible for appropriately billing the patient and providing timely follow up on billing issues and denials.

Requirements

• 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.

Nice To Haves

• Working knowledge of medical insurance plans and medical terminology.
• Proficiency with MS Office.
• Knowledge of EPIC software.

Responsibilities

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

Benefits

• 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.

What This Job Offers

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