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Part-time Insurance Specialist

at Mercy in Cedar Rapids, IA

Patient AccountsCedar Rapids, IA
Part Time, Day, 7-430 m-f

Part time position, 20 hours per week, benefits eligible. M-F. May work from home following one year of successful (and sustained) job performance. Pay is experienced based with the starting rate (no experience) at $11.83 per hour.

This position supports Mercy's philosophy of patient centered care by properly submitting charges to insurance companies for reimbursement. Will also be responsible for appropriately billing the patient and providing timely follow up on billing issues and denials.

Job Specific Duties/Essential Functions
Bills hospital UB-04 claims and professional 1500 claims.
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.
Prepares refunds for mailing.

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 vs. Preferred
Required: 1 year previous experience in a medical office, medical business office, or insurance industry
Education-Required vs. Preferred
Required: High School Diploma or equivalent.
Preferred: Some college or business school.
Licensure, Certification, Registration - Required vs. Preferred
Physical Activity Requirements
Constant = 67-100% of workday
Repetitive motion

Frequent = 34-66% of workday

Occasional = 33% or less of workday

Physical Demand Requirements
Sedentary: Exert up to 10 lbs. of force occasionally and/or a minute amount frequently

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Published at 05-03-2017
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