Denial Specialist

Park Nicollet Health Services; Saint Paul (MN); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Retirement program

Paid time off

Onsite clinic

Tuition reimbursement

Employee assistance program

Job summary

Park Nicollet Health Services is seeking a Claims Specialist to submit and follow up on insurance and third-party claims in a timely, compliant manner. The role supports cash flow and patient experience by ensuring accurate, regulated claim handling.

Candidates with health care revenue cycle exposure and knowledge of CPT/ICD coding or health information systems are preferred, along with strong communication and computer skills.

Qualifications

• Strong attention to detail and problem-solving abilities.
• Clear verbal and written communication skills.
• Moderate PC proficiency with word processing, spreadsheets, and email.
• Working knowledge of standard office equipment.
• Experience in a health care revenue cycle environment preferred.
• Knowledge of CPT/ICD codes and health information systems is a plus.

Responsibilities

• Submit and/or follow up on insurance and third-party claims in a timely, compliant manner.
• Ensure claims processing aligns with regulations and payer requirements.
• Support cash flow and patient experience through accurate claim handling.

Skills

Attention to detail

Communication skills

PC proficiency

Microsoft Office

Office equipment knowledge

Medical terminology knowledge

Epic experience

Education

Healthcare revenue cycle experience

Tools

Epic

Job description

Job Description

Park Nicollet is looking to hire a Claims Specialist to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day.

Position Summary

This position ensures that insurance and other 3rd party claims are submitted and/or paid in a timely manner and are compliant with applicable regulations and payer requirements. Specific assignments may include pre-adjudication and/or follow-up, facility and/or professional claims, commercial and/or government payers. Effective performance of these functions helps the organization achieve strong cash flow and maximize patient satisfaction.

Required Qualifications

Knowledge, Skills, and Abilities:

• Requires strong attention to detail and demonstrated problem resolution skills.
• Must be able to effectively communicate verbally and via written documents.
• Moderate personal computer proficiency with word processing, spreadsheets and email is required (preference for Microsoft Suite).
• Working knowledge of typical office equipment is expected.

Preferred Qualifications

Education, Experience or Equivalent Combination:

• Experience in a health care revenue cycle environment preferred.

Knowledge, Skills, And Abilities

• Ability to acquire and retain complex knowledge of department/company processes, government policy/regulation, and payer requirements.
• Prior medical terminology and procedural/diagnostic coding (CPT, ICD) knowledge will be helpful.
• Proficiency with Health Information Systems (e.g., Epic) preferred.

Benefits

Park Nicollet offers a competitive benefits package (for eligible positions) that includes medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, onsite clinic and much more!

About Us

At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work. We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world. At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.

Benefits Designed To Support Your Total Health

As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care. Join us in our mission to improve the health and well-being of our patients, members, and communities.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.