Experienced Insurance Services Representative I – Remote Opportunity for Compassionate and Detail-Oriented Professionals in Healthcare Billing and Revenue Cycle Management

Introduction to Mercy and Our Mission

Mercy, a renowned leader in the healthcare industry, is dedicated to bringing to life a healing ministry through compassionate care and exceptional service. Our mission is clear: we strive to make a positive impact on the lives of our patients, families, and communities. At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents but also your heart. Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.”

Job Overview: Insurance Services Representative I

We are seeking an experienced and detail-oriented Insurance Services Representative I to join our team in a remote capacity. As an Insurance Services Representative I, you will be responsible for the collection and resolution of outstanding insurance receivables, including unpaid, denied, and underpaid claims. Your exceptional communication skills and ability to work efficiently in a high-volume claim environment will be essential in this role. You will perform duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.

Key Responsibilities:

• Collection and resolution of outstanding insurance receivables, including unpaid, denied, and underpaid claims
• Effective communication with insurance companies, patients, and internal stakeholders to resolve claims issues
• Accurate and efficient handling of high claim volume, ensuring timely resolution and minimal delays
• Collaboration with internal teams, including billing, coding, and patient access, to ensure seamless revenue cycle management
• Identification and escalation of complex claims issues, providing recommendations for resolution
• Adherence to Mercy’s policies, procedures, and standards, ensuring compliance with regulatory requirements

Essential Qualifications:

To be successful in this role, you will need:

• Prior experience in EPIC Resolute Hospital Billing or Ambulatory experience, or equivalent revenue cycle experience
• High School Degree or Equivalent
• Basic Microsoft Excel and Word knowledge
• Excellent communication and customer service skills, with the ability to work effectively in a remote environment

Preferred Qualifications:

While not required, the following qualifications are preferred:

• Prior experience in healthcare billing, insurance, or revenue cycle management
• Certifications in medical billing, coding, or revenue cycle management
• Experience working in a remote or virtual environment, with proven ability to work independently and manage time effectively

Skills and Competencies:

To excel in this role, you will need to possess:

• Strong analytical and problem-solving skills, with attention to detail and ability to identify and resolve complex claims issues
• Excellent communication and interpersonal skills, with ability to work effectively with internal and external stakeholders
• Ability to work in a fast-paced environment, prioritizing tasks and managing multiple projects simultaneously
• Strong organizational and time management skills, with ability to meet deadlines and achieve performance goals

Career Growth Opportunities and Learning Benefits:

At Mercy, we are committed to the growth and development of our employees. As an Insurance Services Representative I, you will have opportunities to:

• Pioneer new models of care and transform the healthcare experience through advanced technology and innovative procedures
• Develop your skills and expertise in revenue cycle management, healthcare billing, and insurance
• Collaborate with internal teams and external partners to drive process improvements and optimize revenue cycle performance
• Participate in ongoing training and education, staying up-to-date on industry trends and best practices

Work Environment and Company Culture:

At Mercy, we pride ourselves on our supportive community and collaborative work environment. As a remote employee, you will be part of a dynamic team that values compassion, professionalism, and teamwork. You will have opportunities to engage with your colleagues and contribute to our mission, while enjoying the flexibility and autonomy of a remote work arrangement.

Compensation, Perks, and Benefits:

We offer a competitive salary and comprehensive benefits package, including:

• Day-one comprehensive health, vision, and dental coverage
• PTO and tuition reimbursement
• Employer-matched retirement funds
• Opportunities for professional growth and development

Conclusion:

If you are a compassionate and detail-oriented professional with experience in healthcare billing and revenue cycle management, we encourage you to apply for this exciting opportunity. As an Insurance Services Representative I at Mercy, you will be part of a dynamic team that is dedicated to making a positive impact on the lives of our patients, families, and communities. Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.”

Apply today and take the first step towards a rewarding and challenging career with Mercy!