Insurance Representative - Full Time

MHM Support Services; Oklahoma City (OK); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Tuition assistance

Retirement savings plan

Job summary

Mercy is hiring an Insurance Services Representative III to manage and optimize revenue cycle tasks. The role involves processing and resubmitting claims, meeting weekly productivity goals, and communicating with clinics and providers to maintain high efficiency.

You will generate monthly denial trend reports, drive training, and act as an operational lead while upholding Mercy standards and values.

Qualifications

• Education: HS degree or equivalent.
• Experience: 2 years revenue cycle or meets position specific duties and responsibilities.
• EPIC Resolute hospital billing or ambulatory experience preferred.
• Intermediate Excel and Word knowledge.
• Excellent customer service and communication skills.

Responsibilities

• Process and resubmit claims in the WQs assigned.
• Interact with clinic managers and providers to maintain efficiency.
• Prepare monthly reports to identify denial trends for each clinic.
• Serve as an operational lead for the department.

Skills

Communication skills

Customer service

Microsoft Excel

Microsoft Word

Data analysis

Verbal communication

People skills

Keyboarding

Influencing others

Education

HS diploma or equivalent

Tools

EPIC Resolute

Job description

Find your calling at Mercy! The main task is to process and resubmit claims in the WQs assigned. The role has weekly productivities goals that must be met. Interacts with, clinic managers, and providers to function at a high level of efficiency. Monthly reports will be ran allowing to gather denial trends for each clinic. Insurance Services Representative III is responsible for collection and resolution of outstanding insurance receivables including but not limited to unpaid, denied and underpaid claims. Insurance service representative III must communicate effectively, develop/oversee training program and knowledge transfer. Insurance Service Representative III displays quality and productive work habits, possesses comprehensive knowledge in department and all aspects revenue cycle operations. Serves as an operational lead for department. Performs duties and responsibilities in a manner consistent with our mission, values and Mercy Service Standards.

Position Details:

Qualifications: Minimum Required Qualifications Education: HS Degree or Equivalent Licensure: None Experience: 2 years revenue cycle or meets position specific duties and responsibilities EPIC Resolute Hospital Billing or Ambulatory experience Certification/Registration: None Other Skills and Knowledge: Intermediate communication and customer service skills Intermediate Microsoft Excel and Word knowledge Intermediate Computer and keyboarding skills Excellent customer service skills Ability to communicate effectively (both written and verbal) Ability to influence others Comfort with data analysis and conveying results positively Excellent people skills Ability to use appropriate rounding tools when talking with co-workers and patients.

Preferred Qualifications

Education: HS Degree or Equivalent Licensure: None Experience: Prior Revenue Cycle Healthcare billing or insurance Certification/Registration: None Other Skills and Knowledge: Advanced Microsoft Excel and Word knowledge Expanded Epic knowledge Ability to collect and analyze data Excellent communication, customer service, and problem solving skills

Why Mercy?

• From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

Transforming the Health of Our Communities

Our Mercy health system was founded by the Sisters of Mercy in 1986. But our heritage goes back more than 195 years. It began with an Irish woman named Catherine McAuley, who was determined to help women and children in Dublin experiencing poverty. Though Catherine had a modest upbringing, she received an unexpected inheritance that allowed her to fulfill that dream. In 1827, she opened the first House of Mercy in Dublin, intending to teach skills to women and educate children. Many volunteers came to help. A few years later, Catherine founded the Sisters of Mercy, one of the first religious orders whose Sisters were free to walk among the poor and visit them in their homes. In 1843, the Sisters of Mercy came to the United States. In 1856, they traveled to St. Louis. In the years to come, they would establish hospitals throughout the Midwest. Many of these would join together in 1986 as Mercy.