Insurance Representative - Primary Care Clinics

Mercy Co; United States; Presencial; USD 25.000 - 41.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, and vision coverage

Tuition support

Matched retirement plans

Paid time off

Descripción de la vacante

Mercy seeks an Advanced Patient Service Specialist to mentor and train junior team members and lead daily huddles to drive operational improvements in patient services. You will identify process enhancements within patient service workflows, collaborate with pre-certification teams to align with payer requirements, and communicate changes across the department to foster a cohesive, high-performing team.

Stay current with developments in the field and serve as a communication bridge to ensure the

Formación

• High school diploma or equivalent.
• Proficiency in computers, typing and Microsoft Office.
• Excellent customer service with strong oral and written communication.

Responsabilidades

• 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.

Conocimientos

MS Office

Typing speed

Customer service

Communication skills

Medical terminology

Insurance verification

Educación

High school diploma or equivalent

Herramientas

Epic RC/EMR

Descripción del empleo

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

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

Experience:

• 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?

• 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.

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.