Patient Benefit Representative

Mercy; Oklahoma City (OK); Vor Ort; USD 25.000 - 33.000; Vollzeit

Benefits dieser Stelle

Medical benefits

Dental benefits

Vision benefits

Paid time off

Tuition assistance

Matching retirement plans

Zusammenfassung

Mercy is seeking a Patient Benefit Representative in Oklahoma City to manage insurance and benefit analysis before services are rendered. The role requires strong knowledge of payor requirements and medical terminology.

The position involves reviewing appointments, obtaining financial information, securing authorizations, and coordinating with insurers to ensure timely reimbursement. You will mentor other Patient Benefit team members and support a collaborative healthcare environment.

Qualifikationen

• Understanding of insurance terminology, medical terminology, and medical insurance plans.
• Ability to complete financial clearance and coordinate with Mercy payment processes.
• Experience with securing authorizations and insurance referrals.

Aufgaben

• Facilitate all components related to insurance and benefit analysis prior to service delivery.
• Review patient appointments, obtain information on out-of-pocket responsibility, and secure authorizations.
• Perform insurance management and coordinate with insurers to ensure timely reimbursement.
• Mentor fellow Patient Benefit team members.

Kenntnisse

Verbal communication

Written communication

Customer service

Interpersonal skills

Organizational skills

Attention to detail

Jobbeschreibung

Find your calling at Mercy!

The Patient Benefit Representative is responsible for facilitating all components related to insurance and benefit analysis prior to the delivery of services. This position must have a strong understanding of various insurances and stay abreast of payor requirements.

Find your calling at Mercy!

The Patient Benefit Representative is responsible for facilitating all components related to insurance and benefit analysis prior to the delivery of services. This position must have a strong understanding of various insurances and stay abreast of payor requirements.

The Patient Benefit Representative is responsible for reviewing patient appointments and/or admissions, obtaining information related to out of pocket financial responsibility, securing necessary authorizations, performing insurance management, securing insurance referral requirements and coordinates as needed with insurance companies to ensure timely reimbursement. Serves as a mentor to fellow Patient Benefit co-workers.

Position Details

Experience and Education Requirements

Demonstration of understanding of all that level 1 is responsible for. Experience with insurance terminology, medical terminology, and medical insurance plans. They demonstrate the ability to complete financial clearance (Mercy payment plan, EPPC, bad debt resolution, etc.).

Minimum Skills, Knowledge And Ability Requirements

• Ability to communicate effectively both orally and in writing, excellent telephone etiquette required.
• Ability to establish and maintain effective working relationships with patients, physicians, clinical and non-clinical hospital staff and insurance companies.
• Strong interpersonal skills.
• Strong organizational skills; attention to detail.
• Ability to work under stress, meet deadlines and perform all daily assignments with consistent accuracy.

Physical Requirements

• Position requires the ability to push, pull, and/or lift 50 lbs on a regular basis.
• Position requires prolonged standing and walking during each shift.
• Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform duties.

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.