Claims Specialist I: Medical Reimbursement Expert

Billings Clinic; Billings (MT); Hybrid; USD 32,000 - 52,000; Full time

Job summary

Billings Clinic is seeking a Claims Specialist I to join our Patient Financial Services team in Billings, Montana. This full-time role focuses on obtaining maximum reimbursements by submitting claims to government and third-party payers and ensuring compliance with payer regulations.

The position offers day shifts, a competitive starting wage DOE, and a supportive work environment within a Magnet-recognized health system committed to quality care and community service.

Qualifications

• One year of previous office experience
• Patient accounts or insurance billing experience preferred

Responsibilities

• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.
• Submission of timely and accurate claims to primary, secondary, and tertiary insurances for both electronic and paper submission.
• Audits accounts by verifying that reimbursement amounts are appropriate, coordination of refunds, if appropriate, and coordinating adjustments, when necessary, claims appeals or resubmissions.
• Prepares and presents verbally and in writing challenges to third party payers for additional reimbursement for denied charges and/or reductions in reimbursement as appropriate.

Job description

Billings Clinic is seeking a Claims Specialist I to join our Patient Financial Services team in Billings, Montana. This full-time role focuses on obtaining maximum reimbursements by submitting claims to government and third-party payers and ensuring compliance with payer regulations.

The position offers day shifts, a competitive starting wage DOE, and a supportive work environment within a Magnet-recognized health system committed to quality care and community service.