Claims Specialist - Hybrid Remote WA State

About the role

The Claims Specialist ensures patient account and claim information contains comprehensive and accurate data to provide for timely billing and optimal reimbursement for services. Monitors daily electronic claims transmission to research and resolve system and electronic clearinghouse claim rejection to maximize the number and percentage of patient bills processed without denials or errors. Responsible for ensuring all claims are accurate and compliant with government rules and regulations. Coordinates billing within the functions of registration, edits, and follow up. Works closely and communicates with insurance companies, government payers, hospital staff, physicians, patients and others to ensure timely billing and resolution of patient accounts.

Responsibilities

• Maintains accurate and complete patient account and claim information to ensure timely billing and optimal reimbursement for services.
• Makes daily electronic claims transmissions and resolves system and electronic clearinghouse claim rejections to minimize denials and errors.
• Ensures all claims are accurate and compliant with government rules and regulations.
• Coordinates billing processes within registration, editing, and follow-up functions.
• Communicates with insurance companies, government payers, hospital staff, physicians, patients, and others to ensure timely billing and resolution of patient accounts.

Requirements

• 2 years experience in healthcare business setting.
• Education in a related field is accepted in lieu of this work experience.
• 1 year experience using EPIC platform.
• 1 year successful customer service experience with patients and insurers.

Qualifications

Required qualifications include 2 years experience in healthcare business setting, education in a related field, 1 year experience using EPIC platform, and 1 year successful customer service experience with patients and insurers.

Skills

Skills required for this role include knowledge of healthcare regulations, proficiency in EPIC platform, excellent communication skills, and ability to work independently and as part of a team.

Benefits

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more.

Pay

The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Schedule

This position is full-time and works on a day shift.

Contact Information

To learn more about Providence and the benefits offered, visit providence.jobs/benefits. For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), please click here where you can access an email link to submit your concern.