Patient Financial Services Follow Up

Mercyhealth Wisconsin and Illinois

Claims Verification Specialist managing payment follow-ups and denials at Mercyhealth. Reviewing claims and coordinating with payers for efficient resolution and compliance.

Posted 6/12/2026full-timeRemote • Illinois • 🇺🇸 United StatesMid-LevelSenior💰 $18 - $27 per hourWebsite

About the role

Key responsibilities & impact

Verifies claims are received by the payer and follows up to obtain payment via phone calls, portal or website use.
Reviews claim adjustment reason codes or explanations of benefits received by the payer to determine reasons for denials.
Evaluates next steps and takes action to call payer, follows up with a resubmission or dispute/appeal/reconsideration.
Drafts an appeal or completes reconsideration forms based on payer requirements.
Obtains and sends medical records during the appeals process when needed.
Calls patients or payers directly to obtain needed information to resolve an account balance.
Identifies trends with payor rejections or denials and escalates these trends to leads/supervisors.
Uses computer systems/technology to locate claims information to resolve account balances.
Maintains compliance with patient financial services policies and procedures.
Reviews accounts based on patient or departmental inquiries.
Works with other Mercyhealth departments if outstanding questions are not resolved.

Requirements

What you’ll need

High school diploma or equivalent
Microsoft Excel required
Healthcare billing experience preferred
Basic understanding of working in multiple software applications at the same time
Basic business writing skills
Should understand how to work with others to impact change

Benefits

Comp & perks

Medical, Dental, Vision
Life & Disability Insurance
FSA/HSA Options
Generous, accruing paid time off
Paid Parental and caregiver leave
Career advancement and educational opportunities
Tuition and certification reimbursement
Certification Reimbursement
Well-being Programs
Employee Discounts
On-Demand Pay
Financial Education
Annual recognition/awards events
Partner appreciation days
Family entertainment/attractions discount
Community service/improvement opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

healthcare billingclaim adjustmentappeal draftingmedical records managementaccount balance resolutiondata analysiscompliance maintenancebusiness writing

Soft Skills

communicationcollaborationproblem-solvingtrend identificationescalationcustomer service