What are the responsibilities and job description for the Pre-Certification Coordinator position at Mercy?
Find your calling at Mercy!
Position Details:
Verifies insurance benefits, obtains required pre‑certifications/authorizations, and communicates coverage and potential out‑of‑pocket costs to patients.
Accurately documents referrals, authorizations, and financial information in the system while monitoring payer responses.
Collaborates with billing, social work, and clinical staff to resolve insurance issues and support patients needing financial assistance.
Serves as a resource for insurance and billing inquiries and performs additional duties as needed.
Education: High school graduate or equivalent.
Experience: Two year minimum experience working with healthcare insurance, billing and coding.
Certifications: Computer skills: word processing, spreadsheet (Word, Excel), EPIC. Excellent written and verbal communication skills. Knowledge of current coding for CPT/ICD-10/HCPS. Medical terminology.
Preferred Certifications: Certification as Coding Specialist preferred.
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.