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Patient Benefit Representative

Role overview

Qualifications

  • Understanding of insurance terminology
  • Experience with medical insurance plans
  • Ability to complete financial clearance
  • Strong communication skills

Responsibilities

  • Facilitate insurance and benefit analysis
  • Review patient appointments and admissions
  • Secure necessary authorizations and manage insurance
  • Mentor fellow Patient Benefit co-workers

Key facts

Hard skills

Other skills

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

About the company

Mercy logo

Mercy

  • Hospitals & Health Systems
  • XLarge
  • 10,001+
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.

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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.

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