Insurance Specialist

Mercy Medical Center; Cedar Rapids (IA); On-site; USD 25,000 - 33,000; Full time

Job summary

Mercy Medical Center in Cedar Rapids, IA is seeking a Billing Clerk to support patient billing and insurance claim processes. The role handles UB-04 and 1500 claims, verifies coverage, and follows up on denials to ensure timely payments.

You will use multiple billing systems, update demographics, maintain queues, and document conversations accurately. Strong communication, math, and organizational skills are essential; EPIC and MS Office familiarity is preferred.

Qualifications

• High School Diploma or equivalent required; relevant experience considered in lieu of degree.
• Strong written and verbal communication and math skills.
• Ability to operate a computer and standard office equipment.
• Preferred familiarity with EPIC and MS Office; medical billing knowledge.

Responsibilities

• Bills hospital UB-04 and professional 1500 claims.
• Verifies insurance coverage of hospital patients.
• Assists patients with billing concerns and follows up on denials.
• Processes third party claims and ensures timely payments per guidelines.
• Updates demographic and insurance information in billing system.
• Maintains work queues and documents all conversations and actions.

Skills

Computer skills

Written and verbal communication

Math skills

Organizational skills

Interpersonal skills

Time management

Attention to detail

Education

High School Diploma or equivalent

Tools

EPIC software

MS Office

Billing systems

Job description

Work ShiftDayScheduled Weekly Hours40SummaryThis 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 DescriptionJob DutiesBills 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 AbilitiesRequired 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 ExperiencePreferred: 1 year of previous experience in a medical office, medical business office, or insurance industryEducationHigh School Diploma or equivalent strongly preferred. Relevant experience to be considered in lieu of degree.Licensure, Certification, RegistrationNonePhysical RequirementsSedentary: Exert up to 10 lbs. of force occasionally and/or a minute amount frequentlyPay Rate TypeHourlyMercy 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.