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Claims Specialist - Other Fiscal Services Hybrid Remote WA State

$21.55 - $33.53 per hour

Pacific Medical Centers

Seattle, WA
  • Remote job

Job Overview The Claims Specialist ensures patient account and claim information contains comprehensive and accurate data to provide timely billing and optimal reimbursement for services. Monitors daily electronic claims transmission to research and resolve system and clearinghouse claim rejections to maximize the number and percentage of patient bills processed without denials or errors. Ensures all claims are accurate and compliant with government rules and regulations, coordinates billing within registration, edits, and follow‑up, and works closely with insurance companies, government payers, hospital staff, physicians, patients and others to ensure timely billing and patient account resolution. Responsibilities Ensure patient account and claim data is accurate and complete. Monitor daily electronic claims transmission and investigate claim rejections. Maximize the number and percentage of patient bills processed without denials or errors. Maintain compliance with government regulations and payer requirements. Coordinate billing activities across registration, edits, and follow‑up functions. Communicate with insurance companies, government payers, hospital staff, physicians, patients, and other stakeholders to resolve billing issues. Qualifications Minimum of 2 years experience in a healthcare business setting; education in a related field accepted in lieu of experience. Minimum of 1 year experience using the EPIC platform. Minimum of 1 year successful customer service experience with patients and insurers. Pay Range Hourly pay of $21.55 to $33.53. Additional compensation may be available for shift differentials, standby/on‑call, overtime, premiums, shift incentives, or bonus opportunities. Benefits Providence offers a comprehensive benefits package, including a 401(k) savings plan with employer matching, medical, dental, vision, life insurance, disability insurance, paid parental leave, vacations, holidays, health‑issue time off, voluntary benefits, and well‑being resources. Equal Opportunity Employer Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state or federal law. #J-18808-Ljbffr Pacific Medical Centers

Vacancy posted 2 days ago
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