Claims Administrator

About the role

Starkey is a global leader in hearing solutions, founded in 1967. Headquartered in Eden Prairie, Minnesota, Starkey employs over 5,000 people worldwide and operates in more than 100 markets.

Requirements

• A high school diploma or equivalent
• Bachelor’s degree preferred, or 4 years of relevant experience
• 2-5 years of experience in medical insurance billing or claims processing
• Knowledge of the health insurance industry, health plans, medical billing, and claims billing
• Experience with Waystar and MS Office applications

Responsibilities

• Support back-end verification and submission of insurance claims ensuring accuracy, completeness, and contractual compliance
• Supports information and resolution of coverage and claims issues with third-party payers, patients, hearing aid providers, and other internal/external customers
• Ensures order validity and benefit coverages are compliant with pricing and contracts language
• Reviews claims and verifies accurate and current per CPT codes and pricing according to contract specifications
• Ensures collections and payment processes are completed and timely
• Researches and resolves payer rejects, coverages, disputes, denials, and past due balances by interacting with network contracts, third-party administrators, hearing providers, and patients
• Establishes and maintains a close working relationship with providers, patients, contracts, and other integral departments in the SHT organization
• Proactively identifies and resolves issues impacting quality, efficiency, and timeliness – process improvements within workflows on full claims processes

Qualifications

• Knowledge of artificial intelligence, embedded activity sensors, language translation and transcription services, and personal voice assistants

Skills

• Excellent communication and interpersonal skills
• Strong attention to detail and organizational skills
• Ability to work independently and manage multiple tasks simultaneously
• Proficiency in healthcare billing and coding
• Ability to resolve complex issues and communicate effectively with various stakeholders

Benefits

The annual salary for this position is between $40,000 - $45,000/year. Factors which may affect starting pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate. This position is eligible for a bonus based upon performance results. There is no guarantee of payout.

Pay

$40,000 - $45,000/year

Schedule

N/A