Specialty Account Coordinator (Full Time)

Mercy•Springfield, MO
•Onsite

About The Position

The Specialty Account Coordinator manages multiple aspects of patient account coordination, including insurance and benefit verification, denials management, and collections. The coordinator identifies assistance programs patients may qualify for, such as drug copay cards, helps patients enroll, monitors services rendered, and bills assistance programs for applicable funds. The role requires a thorough understanding of claims procedures, insurance company regulations, and ophthalmology coding and billing, as well as monitoring changes to pre-certification, documentation, and claims-submission requirements. The coordinator serves as a resource for staff and patients and communicates with physicians, staff, patients, and insurance companies. Duties are performed consistently with Mercy’s mission, values, and Service Standards. This full-time position is located at Mercy Surgery Center in Springfield, Missouri.

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 accurately and consistently.
  • Ability to use logic and good judgment and rapidly identify and initiate corrective actions when problems arise.
  • Effective written and oral communication skills, including providing 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, as well as ophthalmology coding and billing.

Nice To Haves

  • Some college coursework in business, finance, and/or accounting-related subjects is preferred.

Responsibilities

  • Coordinate patient accounts, including insurance and benefit verification, denials management, and collections.
  • Identify patient assistance programs, help patients enroll, monitor services rendered, and bill programs for applicable funds.
  • Monitor insurance company regulations and changes to pre-certification, documentation, and claims-submission requirements.
  • Serve as a resource for staff and patients.
  • Communicate with physicians, staff, patients, and insurance companies.
  • 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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