Position Summary / Career Interest:

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:

• 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.

*Note:  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.

JOB REQUIRMENTS

Require:

• High School Diploma or GED

Preferred:

• Epic experience

We are an equal employment opportunity employer without regard to a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.