Claims Specialist - Other Fiscal Services

Claims Specialist – Other Fiscal Services Be the engine behind accurate, efficient healthcare operations. As a Claims Specialist in Other Fiscal Services, you play a vital role in ensuring claims are processed correctly, payments are timely, and financial workflows run seamlessly—supporting both providers and patients behind the scenes. Job Responsibilities The Claims Specialist ensures patient account and claim information contains comprehensive and accurate data to provide for timely billing and optimal reimbursement for services. Monitors daily electronic claims transmission to research and resolve system and electronic clearinghouse claim rejection to maximize the number and percentage of patient bills processed without denials or errors. Responsible for ensuring all claims are accurate and compliant with government rules and regulations. Coordinates billing within the functions of registration, edits, and follow up. Works closely and communicates with insurance companies, government payers, hospital staff, physicians, patients and others to ensure timely billing and resolution of patient accounts. Qualifications 2 years Experience in healthcare business setting. Education in a related field is accepted in lieu of this work experience. 1 year Experience using EPIC platform. 1 year Successful customer service experience with patients and insurers. EEO Statement Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. #J-18808-Ljbffr Pacific Medical Centers