Patient Financial Services Insurance Coordinator

2 weeks ago


Cedar Rapids, Iowa, United States Mercy Medical Center - Cedar Rapids Full time
Position Overview
This role is integral to Mercy Medical Center's commitment to patient-focused care by ensuring accurate submission of charges to insurance providers for reimbursement. The individual will also manage patient billing processes and provide prompt follow-up on any billing discrepancies or claim denials.
Key Responsibilities
  • Process hospital UB-04 claims and professional 1500 claims efficiently.
  • Confirm insurance coverage for hospital patients.
  • Assist patients and their families in addressing billing inquiries as necessary.
  • Handle third-party insurance claims as assigned, ensuring adherence to departmental protocols for timely payment of outstanding balances.
  • Utilize various systems for billing, claim scrubbing, and managing rejections.
  • Update patient demographic and insurance details in the billing system as required.
  • Maintain organized work queues, clearly outlining next steps and follow-up dates for all accounts.
  • Document all interactions and actions taken in the appropriate systems.
  • Review insurance claims for thoroughness and accuracy before submission.
  • Prepare refunds for distribution.
Essential Skills and Qualifications
  • Proficient in operating computers, copy/fax machines, and telephone systems.
  • Strong written and verbal communication skills, along with mathematical proficiency.
  • Excellent organizational and time management abilities.
  • Strong interpersonal skills.
  • Ability to work independently with minimal supervision.
  • Preferred knowledge of medical insurance plans and terminology.
  • Preferred experience with MS Office applications.
  • Preferred familiarity with EPIC software.
Professional Experience
  • Minimum of 1 year of experience in a medical office, medical business office, or insurance sector is required.
Educational Background
  • A High School Diploma or equivalent is strongly preferred. Relevant experience may be considered in lieu of formal education.
Physical Requirements
  • Sedentary role: Ability to exert up to 10 lbs. of force occasionally and/or a negligible amount frequently.


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