Insurance Specialist

Mercycare; Cedar Rapids (IA); On-site; USD 37,000 - 50,000; Full time

Job summary

Mercy Cedar Rapids is seeking a Billing Clerk to submit charges to insurance and bill patients, ensuring timely follow-up on denials and payments.

The role requires accuracy, strong math and communication skills; experience in medical offices and familiarity with EPIC and MS Office are preferred. This is an on-site, full-time position in Cedar Rapids.

Qualifications

• 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.

Responsibilities

• Bills hospital UB-04 claims and professional 1500 claims.
• Verifies insurance coverage of hospital patients.
• Assists patients and family members in resolving billing concerns.
• Processes third party insurance claims and follows up to ensure timely payment.

Skills

Computer skills

Written & verbal communication

Math skills

Organization

Interpersonal skills

Independent work

Education

High School Diploma

Tools

EPIC software

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

• Preferred: 1 year of previous experience in a medical office, medical business office, or insurance industry
• Preferred working knowledge of medical insurance plans and medical terminology.
• Preferred proficiency with MS Office.
• Preferred knowledge of EPIC software.

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.

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