Insurance Specialist

Mercy Cedar Rapids; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Mercy Cedar Rapids is seeking a Billing Specialist to support patient-centered care by submitting insurance claims and managing billing issues. The role involves verifying insurance, processing claims, and assisting patients with billing inquiries. Ideal candidates should possess strong communication and organizational skills, with a preference for those with experience in a medical or insurance setting.

Qualifications

• 1 year of experience in a medical office or insurance industry preferred.
• Ability to work with minimal supervision.
• Knowledge of medical insurance plans and terminology preferred.

Responsibilities

• Bills hospital UB-04 claims and professional 1500 claims.
• Verifies insurance coverage of hospital patients.
• Assists patients with billing concerns.

Skills

Communication

Organizational Skills

Time Management

Interpersonal Skills

Education

High School Diploma or equivalent

Tools

MS Office

EPIC software

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

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.