Pre Certification Coordinator

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.