Patient Benefits & Authorization Specialist

Mercy St. Louis; Oklahoma City (OK); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Tuition support

Retirement plans

Job summary

Mercy in Oklahoma City is seeking a Patient Benefit Representative to manage insurance and benefit analysis prior to service delivery, with a strong grasp of payor requirements. The role includes reviewing patient appointments, obtaining information on out-of-pocket responsibility, securing authorizations, and coordinating with insurers for timely reimbursement, while mentoring fellow staff.

Mercy offers medical, dental, vision coverage, tuition support, and retirement plans, with a commitment

Qualifications

• Experience with insurance terminology and medical terminology.
• Ability to complete financial clearance and understand Mercy payment plans.
• Familiarity with payor requirements and insurance processes.

Responsibilities

• Review patient appointments/admissions and collect information on financial responsibility.
• Secure necessary authorizations and manage insurance referrals.
• Coordinate with insurance companies to ensure timely reimbursement.
• Serve as a mentor to fellow Patient Benefit coworkers.

Skills

Communication skills

Interpersonal skills

Organizational skills

Job description

Mercy in Oklahoma City is seeking a Patient Benefit Representative to manage insurance and benefit analysis prior to service delivery, with a strong grasp of payor requirements. The role includes reviewing patient appointments, obtaining information on out-of-pocket responsibility, securing authorizations, and coordinating with insurers for timely reimbursement, while mentoring fellow staff.

Mercy offers medical, dental, vision coverage, tuition support, and retirement plans, with a commitment