Insurance Specialist

Mercy Cedar Rapids; Baltimore (MD); On-site; USD 25,000 - 39,000; Full time

Job summary

Mercy Cedar Rapids is seeking a detail‑oriented billing associate to submit charges to insurance companies and handle patient billing with timely follow-ups. You will verify coverage, resolve inquiries, and process third‑party claims according to department guidelines.

The role requires strong math, communication, and organizational skills, with a preference for experience in medical billing systems and EPIC. The position is hourly with standard full-time weekly hours.

Qualifications

• Strong ability to operate a computer, copy/fax machines and telephone system.
• Excellent written and verbal communication, and mathematical skills.
• Organizational and time management skills with interpersonal strengths.

Responsibilities

• Bills hospital UB-04 and professional 1500 claims.
• Verifies insurance coverage for hospital patients.
• Assists patients and families with billing inquiries and resolutions.
• Processes third party insurance claims and follows up for timely payments.
• Uses multiple systems to bill, scrub, and manage rejections.
• Updates demographic and insurance information in the billing system.
• Maintains work queues and documents actions and follow-ups.

Skills

Computer skills

Written and verbal communication

Math skills

Organizational skills

Time management

Interpersonal skills

Ability to work with minimal supervsn

Medical insurance knowledge

MS Office

EPIC software knowledge

Education

High School Diploma or equivalent

Tools

EPIC

MS Office

Job description

Work Shift

Day

Scheduled Weekly Hours

40

Summary

This position supports Mercy’s philosophy of patient centered care by properly submitting charges to insurance companies for reimbursement. Will also be responsible for appropriately billing the patient and providing timely follow up on billing issues and denials.

Job Description

Job Duties

• Bills hospital UB-04 claims and professional 1500 claims.
• Verifies insurance coverage of hospital patients.
• Assists patients and family members in resolving billing concerns as indicated.
• Processes third party insurance claims as assigned and follows up according to departmental guidelines to ensure timely payment of account balances.
• Uses several systems to bill claims, scrub claims and work rejections.
• Updates demographic and insurance information to the billing system as appropriate.
• Maintains work queues according to procedure, clearly defining next actions and follow-up dates on all accounts.
• Documents all conversations and actions taken into the proper systems.
• Reviews insurance claims for completeness and accuracy prior to mailing.
• Prepares refunds for mailing.
• Follows Mercy’s safety guidelines, carries out job-specific safety duties and responsibilities, and promptly reports any unsafe conditions, situations, incidents and injuries.

Knowledge, Skills and Abilities

• Required ability to operate a computer, copy/fax machines and telephone system.
• Required strong written and verbal communication and math skills.
• Required strong organizational and time management skills.
• Required strong interpersonal skills.
• Required ability to work with minimal to no supervision.
• Preferred working knowledge of medical insurance plans and medical terminology.
• Preferred proficiency with MS Office.
• Preferred knowledge of EPIC software.

Professional Experience

• Preferred: 1 year of previous experience in a medical office, medical business office, or insurance industry

Education

• High School Diploma or equivalent strongly preferred. Relevant experience to be considered in lieu of degree.

Licensure, Certification, Registration

• None

Physical Requirements

Sedentary: Exert up to 10 lbs. of force occasionally and/or a minute amount frequently

Pay Rate Type

Hourly

_ Mercy is an independent, community-based organization supporting the Cedar Rapids area for over 120 years. _

Mercy is an equal-opportunity employer. We value diversity, equity, and inclusion and therefore evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status, and other legally protected characteristics.