What are the responsibilities and job description for the Utiliz & Appeals Mgmt Liaison position at 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:
The Utilization and Appeals Management Liaison is primarily responsible for obtaining and finalizing payor authorizations for accounts under the Mercy UM scope so that claims can be submitted timely and with accurate authorization information. This remote position serves as the liaison between Mercy Utilization Management, Payors and 3rd Party Vendors. The Liaison will also be available to assist with denial and retrospective UM authorization functions.
Qualifications:
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 48 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.
Mercy has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.
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:
The Utilization and Appeals Management Liaison is primarily responsible for obtaining and finalizing payor authorizations for accounts under the Mercy UM scope so that claims can be submitted timely and with accurate authorization information. This remote position serves as the liaison between Mercy Utilization Management, Payors and 3rd Party Vendors. The Liaison will also be available to assist with denial and retrospective UM authorization functions.
Qualifications:
- Required Education: High school diploma or equivalent certification
- Preferred Experience: Three years related healthcare experience in Revenue Cycle, Utilization Management, Health Information Management, Auditing or Patient Accounting experience.
- Other Skills & Knowledge:
- Excellent interpersonal, communication and organizational skills to effectively work with others involved in the Utilization and Appeals Management process
- Must possess the ability to prioritize, delegate, and organize various tasks/projects simultaneously to ensure departmental and Mercy-wide goals are met
- Possesses integrity, imagination and initiative as evidenced by self-improvement
- Demonstrates personal qualities such as kindness, compassion, understanding, integrity, interest and respect for others
- Ability to maintain confidentiality when working with sensitive information.
- Ability to stay current on changing governmental and payor regulations related to authorization/certification processes
- High proficiency in computer applications and ability to fully utilize automation to achieve departmental goals
- Creative, results-oriented, well organized, task-driven, self-starter with high energy level, and ability to influence others
- Ability to work independently to accomplish and carry out goals/objectives in a collaborative manner
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 48 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.
Mercy has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.
Hearing/Appeals Referee
State of Missouri -
Jefferson, MO
Clinical Appeals RN
BJC -
Saint Louis, MO
COLLECTION SPECIALIST
PALLADIAN MGMT -
Fallon, IL
