Claims Specialist

University of Kansas Medical Center; Vernon Hills (IL); On-site; USD 42,000 - 68,000; Full time

Job summary

The University of Kansas Medical Center is seeking a Claims Specialist to ensure accurate and timely action on accounts at the Southlake Campus. The role ensures compliance with government and managed care rules and strives to meet department goals for productivity and quality.

Responsibilities include researching and resolving claim rejections, processing paper claims, and ensuring accurate documentation for payers. Epic experience is preferred, with a high school diploma or GED required.

Qualifications

• High School Diploma or GED is required.
• Epic experience is preferred (2+ years).

Responsibilities

• Must perform professional, clinical and/or technical competencies as assigned.
• Verify receipt of daily billing files by the claims clearing house.
• Research and resolve claim rejections within designated timeframes.
• Report claim rejection trends or delays to management.
• Submit paper claims and supporting documentation as required by payers.
• May perform additional duties as assigned.

Education

High School Diploma or GED

Tools

Epic

Job description

Position Title

Claims Specialist

Days - Full Time

Southlake Campus

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 and Essential Job Functions

• 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.
• 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.

Required Education and Experience

• High School Graduate or GED.

Preferred Education and Experience

• 2 or more years of experience working in Epic.

Time Type:

Full time

Important information for you to know as you apply:

• The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion.
• The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link [e-mail].
• Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.