Claims Solution Specialist

Posted 22 Hours Ago
Be an Early Applicant
Hospital, Limerick
Entry level
Healthtech
The Role
Claims Solution Specialists ensure professional claims issues are resolved by performing manual charge entry and adjusting relevant codes as per standard procedures, contributing to efficient and accurate claims processing.
Summary Generated by Built In

Job Description:

Our employees whom we call “caregivers,” take pride in the contribution they make to lowering the cost of healthcare and improving the patient billing experience. Our caregivers work together to provide a collaborative, friendly environment and provide quality and individualized service.
Our Claims Solution Specialists leverage their understanding of the professional revenue cycle to perform final validation and resolution of professional claims issues not requiring coding expertise. They perform manual charge entry and participate with Claims Solution Specialist-Coders in the continuous improvement efforts focused on increasing the efficiency and accuracy of the professional claims process.

Performs manual charge entry where necessary.

Resolves basic to intermediate claims issues not requiring coding certification including adding, removing, and/or changing CPT, HCPCS, and/or ICD codes in accordance with standing orders and/or other standard operating procedures.

Physical Requirements:

Minimum Qualifications:     

Medical billing experience

Preferred Qualifications:

Professional coding (CPT, ICD, HCPCS) experience

Root cause analysis experience

Physical Requirements

Interact with others requiring the employee to communicate information.

Operate computers and other office equipment requiring the ability to move fingers and hands.

See and read computer monitors and documents.

Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment. 

Location:

Intermountain Health McKay-Dee Hospital

Work City:

Ogden

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$18.00 - $27.42

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.


All positions subject to close without notice.

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The Company
Murray, UT
19,912 Employees
On-site Workplace
Year Founded: 1975

What We Do

Intermountain Healthcare is a not-for-profit system of hospitals, surgery centers, doctors, and clinics that serves the medical needs of Utah, Idaho, Nevada, Colorado, Montana, and Kansas. Key medical services include cancer, heart, women and newborns, orthopedics, sports medicine, and more.

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