The Claims Specialist is responsible for accurate and timely action on accounts. This position complies with governmental and managed care rules and regulations. Meets department goals as well as productivity and quality standards.
Responsibilities And Essential Job Functions
Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
Confirms receipt of daily billing files by the claims clearing house.
Researches and resolves any claim rejections within designated timeframes.
Reports any claim rejection trends or delays to management.
Submits paper claims and supporting documentation as required by payers.
Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.
Required Education And Experience
High School Graduate or GED.
Preferred Education And Experience
2 or more years of experience working in Epic.
Time Type
Full time
Job Requisition ID
R-56355
Important Information For You To Know As You Apply
The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion.
The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link [email protected].
Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.
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