Healthcare Claims Resolution Expert

Universal Health Services, Inc.; Reno (NV); On-site; USD 65,000 - 80,000; Full time

Benefits offered by this job

Loan Forgiveness Program

Paid Time Off & Competitive Pay

Medical, Dental, Vision & Prescription

401(k) with company match

SoFi Student Loan Refinancing

Career development opportunities

Job summary

Prominence Health, part of Universal Health Services, is seeking a Claims Resolution Specialist to analyze and resolve complex healthcare claims issues, ensuring timely reimbursement for services rendered. You will rely on deep knowledge of billing procedures and attention to detail while communicating effectively with providers and members.

Ideal candidates have 3+ years in health care claims processing, Medicare experience preferred, and strong computer and Microsoft Office skills.

Qualifications

• Thorough knowledge of CPT, ICD-10 and CDT coding and medical terminology.
• 3+ years’ experience in health care claims processing, preferably in a Medicare environment, including customer service.
• Ability to interpret health plan benefits and provider contracts.
• Excellent verbal and written communication skills.
• Must be able to deal with difficult customers in a professional manner.
• Excellent computer skills including Microsoft Office.

Responsibilities

• Analyze and resolve complex healthcare claims issues to ensure timely reimbursement.
• Process claims accurately and efficiently to improve revenue cycle performance.
• Communicate with providers and patients to clarify information and resolve issues.

Skills

CPT/ICD-10/CDT coding

Medical terminology

Communication skills

Customer service

Microsoft Office

Education

Associates degree preferred

High School Diploma or GED

Tools

Microsoft Office Suite

Job description

Prominence Health, part of Universal Health Services, is seeking a Claims Resolution Specialist to analyze and resolve complex healthcare claims issues, ensuring timely reimbursement for services rendered. You will rely on deep knowledge of billing procedures and attention to detail while communicating effectively with providers and members.

Ideal candidates have 3+ years in health care claims processing, Medicare experience preferred, and strong computer and Microsoft Office skills.