Find your calling at Mercy!
The main task is to process and resubmit claims in the WQs assigned. The role has weekly productivities goals that must be met. Interacts with, clinic managers, and providers to function at a high level of efficiency. Monthly reports will be ran allowing to gather denial trends for each clinic.
Insurance Services Representative III is responsible for collection and resolution of outstanding insurance receivables including but not limited to unpaid, denied and underpaid claims. Insurance service representative III must communicate effectively, develop/oversee training program and knowledge transfer. Insurance Service Representative III displays quality and productive work habits, possesses comprehensive knowledge in department and all aspects revenue cycle operations. Serves as an operational lead for department. Performs duties and responsibilities in a manner consistent with our mission, values and Mercy Service Standards.
Position Details:
Qualifications: Minimum Required Qualifications
Education:
HS Degree or Equivalent
Licensure:
None
Experience:
2 years revenue cycle or meets position specific duties and responsibilities
EPIC Resolute Hospital Billing or Ambulatory experience
Certification/Registration:
None
Other Skills and Knowledge:
Intermediate communication and customer service skills
Intermediate Microsoft Excel and Word knowledge
Intermediate Computer and keyboarding skills
Excellent customer service skills
Ability to communicate effectively (both written and verbal)
Ability to influence others
Comfort with data analysis and conveying results positively
Excellent people skills
Ability to use appropriate rounding tools when talking with co-workers and patients
Preferred Qualifications
Education:
HS Degree or Equivalent
Licensure:
None
Experience:
Prior Revenue Cycle
Healthcare billing or insurance
Certification/Registration:
None
Other Skills and Knowledge:
Advanced Microsoft Excel and Word knowledge
Expanded Epic knowledge
Ability to collect and analyze data
Excellent communication, customer service, and problem solving skills
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.
