Claims Specialist

Pacific Medical Centers Corp; Seattle (WA); On-site; USD 30,000 - 46,000; Full time

Job summary

Pacific Medical Centers is seeking a Claims Specialist to ensure patient accounts and claim data support timely billing and optimal reimbursement for services. You will monitor daily electronic claims transmission, research and resolve claim rejections, and coordinate billing across registration, edits, and follow-up.

In this role you will collaborate with insurance payers, hospital staff, physicians and patients to ensure accurate, compliant claims.

Qualifications

• 2 years experience in a healthcare business setting (education in a related field accepted in lieu)
• 1 year experience using EPIC platform
• 1 year successful customer service experience with patients and insurers

Responsibilities

• Ensure patient accounts and claim data are accurate for timely billing and optimal reimbursement
• Monitor daily electronic claims transmission and resolve system or clearinghouse rejections
• Coordinate billing activities across registration, edits, and follow-up with payers, staff, physicians, and patients

Skills

Healthcare experience

EPIC experience

Patient/customer service

Job description

Description

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.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts 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.

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 much more. Learn more at providence.jobs/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.

About the Team

Pacific Medical Centers (PacMed) is a private, not-for-profit, primary and integrated multi-specialty health care network with outpatient clinics and primary and specialty care providers in King, Snohomish and Pierce counties. We combine decades of patient-centered care with cutting-edge technology, first-class facilities and board-certified providers.

Our strong team environment and respect for our people - at all levels and from all backgrounds - allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), please click here where you can access an email link to submit your concern.

Requsition ID: 453362
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: $21.55 - $33.53
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.