Claims Processor

Claims Processor

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

As our Claims Processor, you will be a vital part of our Revenue Cycle Management team, responsible for ensuring accurate and timely submission of medical claims to payers. This role is perfect for a detail-oriented professional with a strong understanding of healthcare billing requirements, CPT codes, and ICD codes. You'll be instrumental in achieving financial integrity and supporting the smooth operation of our patient accounting services.

Every day you will transmit and retrieve electronic patient claims, meticulously review documentation for billing accuracy, and resolve claim edits within our billing system and clearinghouse. Your critical thinking skills will be crucial in troubleshooting complex issues related to payer regulations and guidelines, ensuring data integrity and maintaining strict confidentiality of medical records. You'll also actively contribute to the ongoing improvement of our claims processing workflows.

To be successful in this role, you will possess a high school diploma with post-additional training in medical billing or business-related fields. You'll demonstrate an exceptional ability to maintain current knowledge of industry regulations and consistently apply problem-solving skills to resolve issues impacting revenue. Ideal candidates will exhibit strong attention to detail, excellent communication, and the capacity to prioritize tasks effectively in a fast-paced healthcare environment.