Claims Specialist - Other Fiscal Services

Providence • Seattle, WA

2d • Onsite

About The Position

As a Claims Specialist in Other Fiscal Services, you play a vital role in ensuring claims are processed correctly, payments are timely, and financial workflows run seamlessly—supporting both providers and patients behind the scenes. 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 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.
• 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

• Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security.
• We take care of you, so you can focus on delivering our mission to advocate, educate and provide extraordinary care.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed