Claims Specialist - Other Fiscal Services Hybrid Remote WA State
About The Position
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. Providence caregivers are not simply valued – they’re invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Requirements
- 2 years experience in healthcare business setting.
- 1 year experience using EPIC platform.
- 1 year successful customer service experience with patients and insurers.
Nice To Haves
- Education in a related field is accepted in lieu of this work experience.
Responsibilities
- Ensures patient account and claim information contains comprehensive and accurate data for timely billing and optimal reimbursement.
- Monitors daily electronic claims transmission to research and resolve system and electronic clearinghouse claim rejections.
- Maximizes the number and percentage of patient bills processed without denials or errors.
- Ensures 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.
Benefits
- Best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
