Claims Administrator

Starkey•Eden Prairie, MN

3d•Onsite

About The Position

At Starkey, we are in the business of connecting people and changing lives. As a world leader in the manufacturing and delivering of advanced hearing solutions, we go to work each day to ensure every person on the planet has the opportunity to hear their very best. Founded in 1967, Starkey is known for its innovative design, development and distribution of comprehensive digital hearing systems. Headquartered in Eden Prairie, Minnesota, Starkey has more than 5,000 employees globally, operates 29+ facilities and does business in more than 100 markets worldwide. Hearing is key to our health and happiness. Starkey is much more than the hearing aids we produce. We are in the business of connecting people and changing lives. We believe being able to hear the world and the people around us is as essential to the human experience as breathing. Many recent advances are already being recognized as disruptive technologies that have positioned Starkey hearing aids as the industry’s first devices that go beyond providing just audiological amplification. Our hearing aids now incorporate Artificial Intelligence, embedded activity sensors, language translation and transcription services, as well as an always-on personal voice assistant. We are looking for a hard-working, detail-oriented Claims Specialist that will be responsible for supporting Start Hearing operations, systems, and financial objectives. You will support back-end verification and submission of insurance claims ensuring accuracy, completeness, and contractual compliance. This position is essential in providing information to and resolving coverage and claims issues with third-party payers, patients, hearing aid providers, and other internal/external customers.

Requirements

High School diploma or equivalent required
2-5 years of experience working with medical insurance billing or claims processing strongly preferred
Knowledge of: The health insurance industry, health plans, medical billing / claims billing
Waystar
MS Office applications

Nice To Haves

Bachelor’s Degree preferred, or 4 years’ experience in lieu of degree

Responsibilities

Ensure order validity and benefit coverages are compliant with pricing and contracts language
Review claims and verify accurate and current per CPT codes, and pricing according to contract specifications
Ensure collections and payment processes are completed and timely
Research and resolve payer rejects, coverages, disputes, denials, and past due balances by interacting with network contracts, third party administrators, hearing providers and patients
Establish and maintain a close working relationship with providers, patients, contracts, and other integral departments in the SHT organization
Proactively identify and resolve issues impacting quality, efficiency, and timeliness – Process improvements within workflows on full claims processes
Establishes customer billing satisfaction and ensures prompt reimbursement on accounts receivable.
Uphold the values and culture of the department through positivity and teamwork.
Adhere to company policies and procedures to accomplish Starkey’s mission of serving our customers better than anyone else and making it easy to do business with us