Logo for Mercy

Pre Certification Coordinator

Mercy

Role overview

Qualifications

  • Experience with insurance terminology
  • Understanding of medical terminology
  • Knowledge of medical insurance plans
  • Ability to complete financial clearance

Responsibilities

  • Facilitate insurance and benefit analysis prior to service delivery
  • Review patient appointments and admissions
  • Secure necessary authorizations and perform insurance management
  • Mentor fellow Patient Benefit co-workers

Key facts

Hard skills

Other skills

  • Communication
  • Social Skills
  • Organizational Skills
  • Detail Oriented
  • Stress Management

About the company

Mercy logo

Mercy

Hospitals & Health Care

Mercy, one of the 25 largest U.S. health systems, serves millions annually with nationally recognized quality care and one of the nation’s largest Accountable Care Organizations. Mercy is a highly integrated, multi-state health care system including more than 40 acute care, managed and specialty (heart, children’s, orthopedic and rehab) hospitals, convenient and urgent care locations, imaging centers and pharmacies. Mercy has 900 physician practices and outpatient facilities, 3,400 Mercy Clinic physicians and advanced practitioners, as well as more than 40,000 co-workers serving patients and families across Arkansas, Kansas, Missouri and Oklahoma. Mercy also has clinics, outpatient services and outreach ministries in Arkansas, Louisiana, Mississippi and Texas.Mercy’s Virtual Care Center is the world’s first such facility dedicated to care outside its own walls, monitoring patients 24/7/365 across the country, using high-speed data and video connections and medically intervening when and where patients need it with a comprehensive team approach. Visit MercyVirtual.netMercy was among the first health care organizations in the U.S. to have an integrated electronic health record (EHR) connecting all points of care. Mercy Technology Services’ broad use of its EHR has been recognized at one of the highest possible levels by Epic. Visit MercyTechnology.net.For information about Mercy's social media policy, please visit https://www.mercy.net/footer/website-terms-and-privacy/#social. Please note: many of the images and videos featured on our page were taken before the COVID-19 pandemic. Rest assured, we are following all necessary guidelines at this time, whether it's in photos and videos here, or in person at any of our Mercy facilities. For more information, visit Mercy.net/COVID19.

Company details

Company typeXLarge
IndustryHospitals & Health Care
Company size10001

Links

Website LinkedIn See all jobs

Your match analysis

See how your profile stacks up against this role.

We compared the job requirements to your profile to show where you're strong and where you fall short.

Job description

Find your calling at Mercy!

The Patient Benefit Representative is responsible for facilitating all components related to insurance and benefit analysis prior to the delivery of services. This position must have a strong understanding of various insurances and stay abreast of payor requirements.

The Patient Benefit Representative is responsible for reviewing patient appointments and/or admissions, obtaining information related to out of pocket financial responsibility, securing necessary authorizations, performing insurance management, securing insurance referral requirements and coordinates as needed with insurance companies to ensure timely reimbursement.Serves as a mentor to fellow Patient Benefit co-workers.

Position Details:

Experience and Education Requirements
Demonstration of understanding of all that level 1 is responsible for. Experience with insurance terminology, medical terminology, and medical insurance plans. They demonstrate the ability to complete financial clearance (Mercy payment plan, EPPC, bad debt resolution, etc.).

Minimum Skills, Knowledge and Ability Requirements
- Ability to communicate effectively both orally and in writing, excellent telephone etiquette required.
- Ability to establish and maintain effective working relationships with patients, physicians, clinical and non-clinical hospital staff and insurance companies.
- Strong interpersonal skills.
- Strong organizational skills; attention to detail.
- Ability to work under stress, meet deadlines and perform all daily assignments with consistent accuracy.

Physical Requirements:
•    Position requires the ability to push, pull, and/or lift 50 lbs on a regular basis.
•    Position requires prolonged standing and walking during each shift.
•    Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform duties.

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.

Apply once. Then go straight to the hiring manager.

After you apply, unlock the direct contact details of the people who actually make the call. A quick follow-up makes you 5x more likely to land an interview.

MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
Unlocked after you apply
·

Related jobs

United States

Other jobs at Mercy

Premium

Reach out to the hiring manager directly.

Gain access to the contact details of the hiring managers who actually decide, and reach out to network with them directly. That, plus more when you upgrade:

  • Full match report with fit score and gaps
  • Career diagnostics on how recruiters read you
  • Curated company matches and warm intros
  • 48h early access to new roles

Cancel anytime.