Insurance Representative - Primary Care Clinics

Mercy; Fort Smith (AR); On-site; USD 25,000 - 33,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Tuition support

Matched retirement plans

Job summary

Mercy seeks an Advanced Patient Service Specialist to mentor teammates and lead process improvements within patient service workflows. You will collaborate with pre-certification to ensure alignment with payer requirements and new technologies, communicating changes across the department to promote efficiency.

This role emphasizes strong communication, organizational skills, and the ability to navigate a complex healthcare environment while supporting Mercy's mission and patient care standards.

Qualifications

• Proficiency with computers, typing and Microsoft Office.
• Excellent customer service skills with strong oral and written communication.
• Knowledge of medical terminology and patient scheduling/pre-authorization processes.

Responsibilities

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

Skills

Computers, typing, MS Office

Customer service excellence (oral & &n

Education

High school diploma or equivalent

2 years experience in prior authorization & scheduling

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.

Education

• High school diploma or equivalent.

Skills, Knowledge Abilities

• 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.

Skills, Knowledge Abilities

• 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.