Managed Care Claims Specialist - Springfield, MO - Mercy

We’re a Little Different

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.

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.”

Overview:

Responsible for working with employer groups, members, and providers, primarily over the phone, regarding claim questions and issues through RAM Technologies HEALTHsuite Claims Module. Ensures the Mercy values are reflected in all aspects of the department's operations. Performs related duties as assigned. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.

Qualifications:

• Experience: Minimum of 3 years experience in healthcare claims, customer service or similar role, and/or an equivalent combination of education, training, and experience.
• Required Education: High school diploma or GED equivalent
• Other: Extensive phone skills, including excellent verbal communication. Computer proficiency in a Windows environment, working knowledge of Microsoft Office products. Strong knowledge of medical terminology. Knowledge of CPT Codes and HCPCs codes. Knowledge of ICD-10 codes. Understanding of group health benefits, especially self-funded. Writing skills to enable accurately completing required documentation with the time frames prescribed. Ability to maintain confidentiality in accordance with HIPAA

We Offer Great Benefits:

Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period!

We’re bringing to life a healing ministry through compassionate care.

At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We’re expanding to help our communities grow. Join us and be a part of it all.

What Makes You a Good Match for Mercy?

Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and unafraid to do a little extra to deliver excellent care – that’s just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.

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