Senior Insurance Specialist

Mercy Medical Center; United States; On-site; USD 25,000 - 39,000; Full time

Job summary

Mercy Medical Center is seeking an Insurance Billing Specialist to support patient billing, submit charges to insurers, and ensure timely reimbursement to the facility. You will handle denials and follow up on complex issues while maintaining accuracy in billing workflows.

Role requires two years in medical billing/insurance, strong communication and math skills, and the ability to work independently. Mercy emphasizes safety and privacy and offers opportunities for training others.

Qualifications

• 2 years of experience in medical office, medical business office, or insurance industry.
• AAHAM or CRCR certification required.
• High School Diploma or equivalent strongly preferred.
• Strong written and verbal communication, math, and organizational skills.
• Ability to work with minimal supervision.

Responsibilities

• Verify insurance coverage for hospital patients.
• Assist patients with billing concerns and resolve issues.
• Process third-party claims and follow up to ensure timely payments.
• Use multiple systems to bill claims, scrub, and work rejections.
• Update demographic and insurance information in billing system.
• Maintain work queues and record follow-up actions.
• Document conversations and actions in systems.
• Review claims for completeness before mailing.
• Assist in training Insurance Specialists.
• Follow safety guidelines and report hazards.

Skills

Communication skills

Math skills

Organizational skills

Interpersonal skills

Independent work

MS Office

EPIC software

Education

High School Diploma

AAHAM or CRCR Certification

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 submitting charges to insurance companies properly to get reimbursement back to facility and appropriately bill patient as needed. Will also be responsible for timely follow up on complex billing issues and denials. Must be a skilled staff member who has a proven history of effectively billing and collecting from payers.

Job Duties

• 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.
• Assists in training of Insurance Specialists.
• 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

• Required: 2 years previous experience in a medical office, medical business office, or insurance industry.
• Preferred: Proven track record of leadership ability.

Education

• High School Diploma or equivalent strongly preferred. Relevant experience to be considered in lieu of degree.

Licensure, Certification, Registration

• AAHAM (American Association of Healthcare Administrative Management), or CRCR (Certified Revenue Cycle Representative) Certification required.

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.

Talent Tuesdays An open-house hiring event, every Tuesday.