Insurance Advisor - Orthopedic Work Comp - Full Time

MercyOne Medical Group; Pleasant Valley Township (IA); On-site; USD 36,000 - 54,000; Full time

Benefits offered by this job

Full benefits package

Job summary

MercyOne Health System is seeking an energetic Billing Clerk/Assistant to support physicians and staff with clerical functions at the clinic level. You will handle pre-certifications, referrals, authorizations, and appeals while coordinating with patients and insurance providers.

The role emphasizes accurate documentation, strong customer service, and collaboration with clinic professionals to ensure efficient patient care and timely payments.

Qualifications

• 2 year college program or equivalent experience - Finance, Business, or related field
• Word processing and other Windows-based computer applications, experience in billing, insurance verification, customer service & front desk registration.
• Medical Terminology, ICD-CM Coding, training/experience, experience in billing, accounts receivable, insurance and pre-authorization verification.
• More than 1 year experience required

Responsibilities

• Assist physicians and staff with clerical tasks and clinic coordination.
• Obtain and document pre-certifications and pre-authorizations for services.
• Interface with insurance organizations and Genesis Health Group regarding pre-certification issues.
• Initiate and follow up on appeals for denied payments.
• Serve as primary contact for clinical physicians, billing office, and Genesis Health Group.

Skills

Billing and insurance verification

Customer service

Front desk registration

Medical terminology

ICD-CM coding

Word processing

Education

2 year college program or equivalent experience in Finance/Business

Tools

Billing software

Insurance verification systems

Job description

Employment Type

Full time

Shift

Day Shift

Description

Position Purpose:

Under the general direction of the Clinic Manager, serves as an assistant to the physicians and other support staff members. Provides support services and coordination of clerical functions to the department, including secretarial, clerical and reception tasks. Responsible for obtaining and documenting pre-certification of pre-authorized insurance requests for Clinic services and procedures. Responsible for obtaining authorizations, when required, for referrals for other services. Will interface between physicians, Genesis Health Group departments, and insurance organizations regarding pre-certification issues. Initiate and follow up on appeals for denied payments. Will ensure that all activities achieve high patient and customer satisfaction and that pre-certification process meets physician, patient, and Genesis Health Group needs. Serves as primary contact for clinical physicians, physician's billing office, and Genesis Health Group

Minimum Requirements

• 2 year college program or equivalent experience - Finance, Business, or related field
• Word processing and other Windows-based computer applications, experience in billing, insurance verification, customer service & front desk registration.
• Medical Terminology, ICD-CM Coding, training/experience, experience in billing, accounts receivable, insurance and pre-authorization verification.
• More than 1 year experience required

Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!

Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System’s circle of care.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.