Claims Specialist

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. Required Qualifications: 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 Why Join Providence? 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.