Claims Specialist - Other Fiscal Services
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.
Responsibilities
- Ensure accuracy and completeness of patient account and claim information.
- Collaborate with medical staff to resolve billing discrepancies and ensure timely payment.
- Communicate effectively with patients and insurance companies to address billing inquiries and concerns.
- Manage claims processing workflow to meet departmental and organizational goals.
- Monitor and maintain compliance with healthcare regulations and insurance company guidelines.
- Prepare and submit claims electronically and manually as required.
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 of experience in healthcare business settings, education in a related field, 1 year of experience using EPIC platform, and 1 year of successful customer service experience with patients and insurers.
Skills
N/A
Benefits
Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
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
Full time
Work Location
PACMED Admin Bh-Seattle