Insurance Representative - Primary Care Clinics

Mercy Co; Fort Smith (AR); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical, dental, vision

Paid time off

Tuition assistance

Retirement plans

Job summary

Mercy is seeking an Advanced Patient Service Specialist in Fort Smith, AR. You will mentor peers, lead daily huddles, and drive operational improvements within patient service workflows.

The role involves collaborating with pre-certification teams to ensure alignment with payer requirements and evolving technologies. You will communicate changes, foster teamwork, and help shape the department's approach to patient scheduling, referrals, and insurance coordination in a dynamic healthcare

Qualifications

• High school diploma or equivalent.
• Proficiency in computers, typing and Microsoft Office; strong customer service and written/spoken communication.
• Knowledge of scheduling, pre-auth, pre-certification and referral processes alongside insurance coordination.
• Basic knowledge of self-pay collections, ICD-10 and general insurance concepts.
• Excellent verbal communication; ability to work in a complex environment with varied viewpoints.
• Ability to prioritize work and interact with diverse backgrounds.

Responsibilities

• Mentor and train other patient service specialists.
• Lead daily huddles to identify and implement operational improvements.
• Identify process enhancements within patient service workflows.
• Collaborate with pre-certification teams to align with payer requirements and latest technologies.
• Communicate changes and foster a cohesive department environment.

Skills

Customer service

Written and verbal communication

Multitasking

Mentoring and training

Education

High school diploma or equivalent

Tools

Epic RC/EMR system

Job description

Find your calling at Mercy!

As an Advanced Patient Service Specialist, responsibilities extend to mentoring and training other patient service specialists, as well as leading daily huddles to identify and implement operational improvements. This role is instrumental in identifying process enhancements within patient service workflows and collaborating with pre-certification teams to ensure alignment with the latest technologies and payer requirements. Keeping abreast of new developments in the field, you'll play a pivotal role in communicating changes and fostering a cohesive environment within the department.

Position Details:

Minimum Qualifications:

• High school diploma or equivalent.
• Proficiency in computers, typing and Microsoft Office. Most possess excellent customer service skills with strong oral and written communication skills. Must have the ability to interact with customers of all ages in a tactful and pleasant manner. Knowledge of medical terminology.
• Knowledgeable in practices involving patient scheduling/pre-authorization/pre-certification/referral process and coordination of other services related to insurance verification.
• Basic knowledge of self-pay collections, medical terminology, ICD10, and/or a functional understanding of insurance is preferred.
• Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view.
• Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail.
• Ability to prioritize work and handle a variety of tasks simultaneously.
• Must possess excellent interpersonal skills and can interact on a professional level with individuals from diverse backgrounds.

Preferred Qualifications:

• 2 years combined experience in prior authorization and scheduling.
• Knowledge of and experience using an Epic RC/EMR system is preferred.

Physical Requirements:

• Position requires the ability to push, pull, and/or lift 50 lbs. on a regular basis.
• Position requires prolonged standing and walking during each shift.
• Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform duties.

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.