Claims Specialist Lead

The University of Kansas Health System; Lenexa, Northern (KS, KY); On-site; USD 55,000 - 75,000; Full time

Job summary

The University of Kansas Health System in Lenexa, KS is seeking a Claims Specialist Lead to assist the Claims Manager and staff with claim issues, manage workload, and stand in when needed.

You will troubleshoot payer and software problems, monitor trends in claims processing, and ensure timely submission of paper claims and supporting documentation.

Qualifications

• High School Diploma or GED required.
• 3+ years of claims or insurance processing experience.
• Associate's degree preferred.

Responsibilities

• Assists in coordinating the team’s workload.
• Works with team on problem solving, training and mentoring.
• Acts as subject matter expert in absence of the department manager.
• Observes and communicates trends with claims processing and payer issues.
• Researchers and resolves claim rejections within designated timeframes.
• Submits paper claims and supporting documentation as required by payers.
• Must perform the professional, clinical and or technical competencies of the assigned unit or department.

Skills

Claims processing

workload coordination

Mentoring

Problem solving

Education

High School Diploma or GED

Associate's Degree (preferred)

Tools

Epic

Job description

## Claims Specialist LeadApply: Lenexa, KS: Full time: Posted Today: R-58518# Position TitleClaims Specialist LeadDays - Full TimeSouthlake Campus## Position Summary / Career Interest:The Claims Specialist Lead is responsible for assisting the Claims Manager and Claims Staff with claim issues. The positions assist the Claims Manager with workload assignments as needed, filling in for staff as needed, and troubleshooting questions in the absence of the Claims Manager. Complies with governmental and managed care rules and regulations. Meets department goals as well as productivity and quality standards.**Responsibilities and Essential Job Functions*** Assists in coordinating the team’s workload.* Works closely with team members on problem solving, training and mentoring.* Acts as subject matter expert in absence of the department manager to both internal and external customers.* Observes and communicates to the Claims manager trends with claims processing by insurance companies or technical issues with the claims clearing house.* 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.* 3 or more years of experience in claims, or insurance processing. **Preferred Education and Experience*** Associates Degree in a related field of study from an accredited college or university.* 4 or more years of Epic experience. ## Time Type:Full time## Job Requisition ID:R-58518