Claims Specialist - Fiscal Services

Overview

Description

Claims Specialist – Other Fiscal Services

Be the engine behind accurate, efficient healthcare operations. 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.

• Monitor daily electronic claims transmission and research/store information to resolve system and electronic clearinghouse claim rejections to maximize timely processing and minimize denials.
• Ensure claims are accurate and compliant with government rules and regulations.
• Coordinate billing within registration, edits, and follow-up processes.
• Communicate with insurance companies, government payers, hospital staff, physicians, and patients to ensure timely billing and resolution of patient accounts.

• 2 years experience in a healthcare business setting. Education in a related field is accepted in lieu of this work experience.
• 1 year experience using the EPIC platform.
• 1 year successful customer service experience with patients and insurers.

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.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and more. Learn more s/benefits.

Applicants in the Unincorporated County of Los Angeles:
Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Requisition : 432232
Company: Pacific Medical Jobs
Job Category: Claims
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Admin Support
Department: 3060 OTHER FISCAL SERVICES WA
Address: WA Seattle 1200 12th Ave S
Work Location: PACMED Admin Bh-Seattle
Workplace Type: Hybrid
Pay Range: $21.30 - $32.57

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.