About The Position

The Senior Specialty Account Coordinator is responsible for multiple facets of patient account coordination, including insurance and benefit verification, denials management, and collections. The role provides training to new and existing staff on policies, protocols, systems, standards, and techniques, and communicates clear instructions to the team as a liaison to management. The coordinator identifies assistance programs patients may qualify for, such as drug copay cards, assists patients with enrollment, monitors services rendered, bills assistance programs for applicable funds, and conducts random quality-control checks on the team's work. The position supervises employees’ continued growth to meet departmental needs and requires a thorough understanding of claims procedures and insurance company regulations, including monitoring changes to pre-certification, documentation, and claims-submission requirements. The role calls for accuracy, attention to detail, and effective communication with physicians, staff, patients, and insurance companies. The coordinator serves as a resource for staff and patients and performs duties consistently with Mercy’s mission, values, and Service Standards.

Requirements

  • At least 3 years of related experience.
  • Interpersonal, organizational, and analytical skills.
  • Ability to work in stressful situations, meet deadlines, and perform daily responsibilities with consistent accuracy.
  • Ability to use logic and good judgment and rapidly identify and initiate corrective action when problems arise.
  • Ability to communicate effectively and provide clear written and oral direction to co-workers.
  • Ability to deal effectively with VBO management and co-workers in demanding situations.
  • Thorough understanding of claims procedures and insurance company regulations.
  • Accuracy, attention to detail, and effective communication with physicians, staff, patients, and insurance companies.

Nice To Haves

  • Some college hours in business, finance, and/or accounting-related courses.

Responsibilities

  • Coordinate patient accounts, including insurance and benefit verification, denials management, and collections.
  • Train new and existing staff on policies, protocols, systems, standards, and techniques.
  • Communicate clear instructions to the team and serve as a liaison to management.
  • Identify patient assistance programs, help patients enroll, monitor services rendered, and bill assistance programs for applicable funds.
  • Conduct random quality-control checks on work produced by the team.
  • Supervise the continued growth of employees to meet departmental needs.
  • Monitor insurance company regulations for changes in pre-certification, documentation, and claims-submission requirements.
  • Serve as a resource for staff and patients.
  • Perform duties consistently 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
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