Revenue-Cycle Claims Specialist

Trinity Health-ND; Minot (ND); Hybrid; USD 42,000 - 63,000; Full time

Job summary

Trinity Health-ND is seeking an Account Representative in Minot to support the revenue cycle by preparing, reviewing, and submitting medical claims to third-party payers. You will verify patient demographics, insurance information, coding, and supporting documentation to ensure compliant submissions.

Collaborating with clinical teams, patient access staff, coders, and billing personnel, you will monitor claims, resolve delays, and assist with audits to improve billing accuracy and timely

Qualifications

• High School Diploma or equivalent preferred.
• One year experience in accounting or clerical environment preferred.
• Experience in processing insurance claims preferred.
• Six months billing or cash posting to accounts receivable preferred.
• Customer service experience preferred.

Responsibilities

• Prepare, review, and submit compliant medical claims through billing and EDI systems.
• Verify demographics, insurance, coding, and supporting documentation prior to submission.
• Collaborate with internal departments to obtain missing or corrected information required for claim completion.
• Monitor the status of submitted claims, identify delays, and resolve issues that impact timely reimbursement.
• Review and correct denied or rejected claims, ensuring resubmission within payer timelines and regulatory requirements.
• Maintain comprehensive documentation of billing activities, communications, and follow up actions within the billing system.
• Recognize patterns in payer denials, documentation deficiencies, or workflow issues and notify appropriate leadership.
• Assist with internal audits and quality improvement initiatives related to billing accuracy and compliance.
• Maintain current knowledge of billing regulations, payer requirements, and updates to coding and documentation standards.

Skills

Communication

Accounting aptitude

Typing / data entry

Education

High School Diploma or equivalent

Tools

Excel

Billing systems

Job description

Trinity Health-ND is seeking an Account Representative in Minot to support the revenue cycle by preparing, reviewing, and submitting medical claims to third-party payers. You will verify patient demographics, insurance information, coding, and supporting documentation to ensure compliant submissions.

Collaborating with clinical teams, patient access staff, coders, and billing personnel, you will monitor claims, resolve delays, and assist with audits to improve billing accuracy and timely