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Mercy is seeking a Specialty Account Coordinator to manage patient account coordination including insurance verification, denials management, and collections. You will identify patient assistance programs (drug copay cards) and help enroll patients while monitoring services and billing funds.
Strong knowledge of claims procedures and ophthalmology billing is essential. You will communicate effectively with physicians, staff, patients, and insurance companies, and act as a resource for colleagues
Find your calling at Mercy! The Specialty Account Coordinator is responsible multiple facets of patient account coordination including insurance/benefit verification, denials management, and collections. The Specialty Account Coordinator is also responsible for knowing what assistance programs, such as drug copay cards, that patients may qualify for, assisting patients in enrolling in those programs, monitoring services rendered, and billing the assistance programs for the applicable funds. This position requires a thorough understanding of claims programs for the applicable funds. This position requires a thorough understanding of claims procedures and insurance company regulations, as well as ophthalmology coding and billing. It requires monitoring of insurance company regulations for changes in pre-certification, documentation, or claims submission requirements. It also requires accuracy, attention to detail and the ability to communicate well with physicians, staff, patients, and insurance companies. The Specialty Account Coordinator also serves as a resource for other staff and patients, and always performs duties in a manner consistent with Mercy Service Standards. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.
Position Details: Education: Some college hours in Business, Finance and/or Accounting related courses preferred. Licensure: Experience: A minimum of 3 years related experience required. Certification/Registration: Other skills & knowledge: (skills, knowledge, abilities): Interperonal, organizational, and analytical skills required. Must posess ability to work in stressful situatons, meet deadlines, and perform daily responsibilities with consistent accuracy. Ability to use logic, good judgment ad be able to reapidly identify and initaiate corrective actions when problems arise. Must be able to communicate effectively providing good written and oral direction to co-workers. Must be able to deal effectively with VBO management and co-workers in demanding situations.
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.
Our Mercy health system was founded by the Sisters of Mercy in 1986. But our heritage goes back more than 195 years. It began with an Irish woman named Catherine McAuley, who was determined to help women and children in Dublin experiencing poverty. Though Catherine had a modest upbringing, she received an unexpected inheritance that allowed her to fulfill that dream. In 1827, she opened the first House of Mercy in Dublin, intending to teach skills to women and educate children. Many volunteers came to help. A few years later, Catherine founded the Sisters of Mercy, one of the first religious orders whose Sisters were free to walk among the poor and visit them in their homes. In 1843, the Sisters of Mercy came to the United States. In 1856, they traveled to St. Louis. In the years to come, they would establish hospitals throughout the Midwest. Many of these would join together in 1986 as Mercy.