Position Purpose

Completes patient registrations/pre-registration processes following department procedures using identified technology systems. Processes include obtaining accurate demographic, insurance and patient liability information. Responsible for working with multiple department/hospital and web-based systems.

What you will do

Specialist I:

• Must possess a comprehensive knowledge of financial clearance and insurance verification processes with two (2) years of financial clearance experience in an acute care setting

• Responsible for all pre-service account’s financial clearance and collection prior to the date of service

• Obtains and verifies accurate insurance information, benefit validation, authorization, and preservice collections

• Begins the overall patient experience and initiates the billing process for any services provided by the hospital

Specialist II

• Experienced in processing financial clearance for complex services including surgical services, observation, and in-house cases

• Minimum of five (5) years of financial clearance / authorization experience in an acute care setting

• Experienced in complex facility based ancillary testing across multiple facilities/states

• Responsible for complex, high-dollar services including surgical, observation and in-house services working in multiple areas of verification including outpatient verification, elective short procedure / inpatient verification, & urgent admission verification or scheduling

Minimum Qualifications

• Minimum High school or equivalent

• Two years' experience in an accredited hospital or physician's office (5 years for level II)

• Knowledge of medical terminology and medical insurances

Position Highlights and Benefits

• Full time 40hrs M-F days

• Excellent benefits - starting day 1!

Ministry/Facility Information

Mercy Medical Center has established itself as one of the leading providers of health care services in Western Massachusetts. Mercy Medical Center is a 182-bed acute care hospital in Springfield. Other facilities include Mercy's Rehabilitation Hospital, a comprehensive hospital-based rehabilitation center and Brightside for Families and Children, an outpatient service offering counseling and family support programs.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.