Patient Access & Pre-Service Coordinator

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

Job summary

Mercy Cedar Rapids is seeking a Healthcare Billing Specialist to support patient-centered care by coordinating with insurance payors to verify benefits and obtain pre-authorizations for scheduled services.

You will communicate patient liability after the pre-service process, assist with revenue cycle activities, and collaborate with on-site case management and clinical teams to maximize reimbursement and ensure accurate billing.

Qualifications

• One year of related experience in hospital, clinic, medical office, revenue cycle, or customer service.
• Knowledge of insurance verification, authorizations, and patient billing processes.
• HIPAA compliance and strong data handling capabilities.

Responsibilities

• Prepares and clears new cases for pre-scheduled services with insurance data.
• Interacts with insurers to verify benefits and obtain authorizations.
• Gather information to verify benefits using the Epic system.
• Obtain necessary service authorizations with clinical teams and CDI/PRIOR auth.
• Communicate patient liability after pre-service completion.
• Provide service information and logistics to ensure a positive patient experience.
• Support revenue cycle and help develop processes to maximize reimbursement.
• Develop and maintain monthly reports and statistics.

Skills

Strategic thinking

Professional demeanor

Communication

Interpersonal skills

Entrepreneurial mindset

Education

High School Diploma or equivalent

CRCR certification with HMFA or equivalent

Job description

Mercy Cedar Rapids is seeking a Healthcare Billing Specialist to support patient-centered care by coordinating with insurance payors to verify benefits and obtain pre-authorizations for scheduled services.

You will communicate patient liability after the pre-service process, assist with revenue cycle activities, and collaborate with on-site case management and clinical teams to maximize reimbursement and ensure accurate billing.