Claims Specialist

Position Summary: This position ensures that insurance and other 3rd party claims are submitted and/or paid in a timely manner and are compliant with applicable regulations and payer requirements. Specific assignments may include pre-adjudication and/or follow-up, facility and/or professional claims, commercial and/or government payers. Effective performance of these functions helps the organization achieve strong cash flow and maximize patient satisfaction. Seeking candidates with workman's comp and commercial claims experience, particularly with resolving payer denials from the provider side.

Required Qualifications: Knowledge, Skills, and Abilities: Requires strong attention to detail and demonstrated problem resolution skills. Must be able to effectively communicate verbally and via written documents. Moderate personal computer proficiency with word processing, spreadsheets and email is required (preference for Microsoft Suite).Working knowledge of typical office equipment is expected.

Preferred Qualifications: Education, Experience or Equivalent Combination:

• Experience in a health care revenue cycle environment preferred.
• Knowledge, Skills, and Abilities:
• Ability to acquire and retain complex knowledge of department/company processes, government policy/regulation, and payer requirements.
• Prior medical terminology and procedural/diagnostic coding (CPT, ICD) knowledge will be helpful.
• Proficiency with Health Information Systems (e.g., Epic) preferred.

Benefits: Park Nicollet offers a competitive benefits package (for eligible positions) that includes medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, onsite clinic and much more!