Claims Development Specialist

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Full Time Clerical Westlake Village, CA, US

4 days ago Requisition

Salary Range: $20.00 To $24.00 Hourly

Are you interested in harnessing technology and AI to transform healthcare?

At Xi Fin , we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most:
patient care
.

We’re on a mission to simplify the business side of healthcare—and we know that mission takes people from all backgrounds and experiences. Whether you’re early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference.

The Claims Development department posts all demographic and charge-related information to the billing system, ensuring that claims are billed out accurately and timely for all clients. The Claims Development Specialist is responsible for specific geographic locations, ensuring accurate conversion of files, demographic posting, charge posting and clean up, and review of all outstanding data is completed daily. You must be detail oriented, able to multitask, work equally as part of a team and independent at times.

This position will be located at our offices in Westlake Village, CA.

This position is not eligible for employment sponsorship now or in the future. Applicants must have current and ongoing authorization to work in the United States.

In this role, you’ll:

• Utilize MS Excel and MS Access to process daily demographics into a standard format.
• Access client portals remotely to retrieve pending information related to missing charge and/or demographic information not received with the initial data and clear from holding queues daily.
• Research new Referring Drs including obtaining correct addresses and NPI details to add to the billing system.
• Work Translations for POS, Relationship Codes, New Patients, New Insurances, etc.
• Work EMC Exceptions within Imagine.
• Assist in the manual printing process of paper HCFA’s weekly.
• Review and process charges from the Optum assisted coding engine, to the Imagine billing software.
• Utilize Microsoft Access and/or other database systems to complete and track progress.
• Be a team player with the ability to work effectively with cross-functional teams.
• Utilize your excellent organizational, multitasking & detail-oriented skills.
• Communicate with internal and external teams with a high level of professionalism.
• Adhere to HIPAA and company confidentiality policies at all times.
• Participate in ongoing quality assurance reviews and internal audits.
• Assist with audits and special projects.

We’re looking for someone with a growth mindset and a passion for learning. You might be a great fit if you:

• Strong analytical and problem-solving skills.
• Excellent attention to detail and accuracy.
• Communicate clearly and confidently, both in writing and in conversation.
• Ability to manage multiple priorities in a fast-paced environment.
• Are detail-oriented, organized, and proactive.
• Are eager to learn, ask great questions, and work with others to solve problems.

You don’t need to check every box. We will consider a combination of education and experience, including:

• High school diploma or equivalent required; bachelor’s degree highly preferred.
• Minimum…